Provider Demographics
NPI:1306557152
Name:JANATUS TRANSPORT
Entity type:Organization
Organization Name:JANATUS TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:D
Authorized Official - Last Name:JORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:BSW, CDCA
Authorized Official - Phone:440-434-2796
Mailing Address - Street 1:216 W 30TH ST
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44055-1173
Mailing Address - Country:US
Mailing Address - Phone:440-434-2796
Mailing Address - Fax:
Practice Address - Street 1:216 W 30TH ST
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44055-1173
Practice Address - Country:US
Practice Address - Phone:440-434-2796
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHRS914853OtherDRIVER'S LICENSE