Provider Demographics
NPI:1366863110
Name:J.B NURSING AND MANAGEMENT SERVICES INC.
Entity Type:Organization
Organization Name:J.B NURSING AND MANAGEMENT SERVICES INC.
Other - Org Name:N/A
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:HHA
Authorized Official - Prefix:MS
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:NGUMSI
Authorized Official - Last Name:NJANKENJI
Authorized Official - Suffix:
Authorized Official - Credentials:HHA
Authorized Official - Phone:301-404-7871
Mailing Address - Street 1:12305 TREETOP DR APT 22
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-7663
Mailing Address - Country:US
Mailing Address - Phone:301-404-7871
Mailing Address - Fax:
Practice Address - Street 1:12305 TREETOP DR APT 22
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-7663
Practice Address - Country:US
Practice Address - Phone:301-404-7871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:N/A
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-12-20
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDHHA10160251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health