Provider Demographics
NPI:1043657471
Name:JB CARE LLC
Entity Type:Organization
Organization Name:JB CARE LLC
Other - Org Name:VISITING ANGELS OF SOUTHERN UTAH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:BOWLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-632-7130
Mailing Address - Street 1:1224 SOUTH RIVER ROAD
Mailing Address - Street 2:SUITE B 228
Mailing Address - City:ST. GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790
Mailing Address - Country:US
Mailing Address - Phone:435-674-3434
Mailing Address - Fax:
Practice Address - Street 1:1224 S RIVER RD
Practice Address - Street 2:SUITE B 228
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-8285
Practice Address - Country:US
Practice Address - Phone:435-674-3434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-24
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2013PCAUT000566251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health