Provider Demographics
NPI:1508598335
Name:JBMV HEALTH ASSOCIATES, LLC
Entity Type:Organization
Organization Name:JBMV HEALTH ASSOCIATES, LLC
Other - Org Name:JBMV HEALTH ASSOCIATES,LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BAYO
Authorized Official - Middle Name:BABATUNDE
Authorized Official - Last Name:AGBOLADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-743-2714
Mailing Address - Street 1:22941 MADDELINE LANE
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-8575
Mailing Address - Country:US
Mailing Address - Phone:708-743-2714
Mailing Address - Fax:
Practice Address - Street 1:4711 MIDLOTHIAN TPKE STE 14
Practice Address - Street 2:
Practice Address - City:CRESTWOOD
Practice Address - State:IL
Practice Address - Zip Code:60418-4903
Practice Address - Country:US
Practice Address - Phone:708-743-2714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-29
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care