Provider Demographics
NPI:1093482234
Name:JJBP, LLC
Entity Type:Organization
Organization Name:JJBP, LLC
Other - Org Name:HOME INSTEAD 854
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:539-208-5010
Mailing Address - Street 1:9500 N 129TH EAST AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055-5376
Mailing Address - Country:US
Mailing Address - Phone:539-208-5010
Mailing Address - Fax:
Practice Address - Street 1:9500 N 129TH EAST AVE STE 200
Practice Address - Street 2:
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055-5376
Practice Address - Country:US
Practice Address - Phone:539-208-5010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-25
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care