Provider Demographics
NPI:1154643419
Name:JCB HOME HEALTH CARE SERVICES INC
Entity Type:Organization
Organization Name:JCB HOME HEALTH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:C
Authorized Official - Last Name:BALBIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-226-1908
Mailing Address - Street 1:536 W BOUGHTON RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-5754
Mailing Address - Country:US
Mailing Address - Phone:630-226-1908
Mailing Address - Fax:630-226-5694
Practice Address - Street 1:536 W BOUGHTON RD
Practice Address - Street 2:SUITE C
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-5754
Practice Address - Country:US
Practice Address - Phone:630-226-1908
Practice Address - Fax:630-226-5694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-26
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILIL1011109251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========OtherEIN