Provider Demographics
NPI:1063779627
Name:JCARES, INC.
Entity type:Organization
Organization Name:JCARES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:QUIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:CANADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-967-7363
Mailing Address - Street 1:699 LEWELLING BLVD # 146-331
Mailing Address - Street 2:
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94579-1870
Mailing Address - Country:US
Mailing Address - Phone:510-967-7363
Mailing Address - Fax:888-653-0153
Practice Address - Street 1:2806 11TH AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610-4004
Practice Address - Country:US
Practice Address - Phone:510-967-7363
Practice Address - Fax:888-653-0153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-19
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)