Provider Demographics
NPI:1285451542
Name:JDR ELITE ENTERPRISE LLC
Entity type:Organization
Organization Name:JDR ELITE ENTERPRISE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMALL
Authorized Official - Middle Name:
Authorized Official - Last Name:JAVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-450-0042
Mailing Address - Street 1:25000 EUCLID AVE STE 305
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-2646
Mailing Address - Country:US
Mailing Address - Phone:216-450-0042
Mailing Address - Fax:
Practice Address - Street 1:25000 EUCLID AVE STE 305
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44117-2646
Practice Address - Country:US
Practice Address - Phone:216-450-0042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle