Provider Demographics
NPI:1043200850
Name:JBS CARE COMPANY
Entity Type:Organization
Organization Name:JBS CARE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:BORTZ
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:586-754-0350
Mailing Address - Street 1:24919 GIBSON SUITE A
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48089-3903
Mailing Address - Country:US
Mailing Address - Phone:586-754-0350
Mailing Address - Fax:586-754-0359
Practice Address - Street 1:24919 GIBSON SUITE A
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48089-3903
Practice Address - Country:US
Practice Address - Phone:586-754-0350
Practice Address - Fax:586-754-0359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-24
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3047771Medicaid
MI0361190001Medicare ID - Type Unspecified