Provider Demographics
NPI:1639156185
Name:JCR MANAGEMENT CORPORATION
Entity Type:Organization
Organization Name:JCR MANAGEMENT CORPORATION
Other - Org Name:BAKER HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:MELTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-972-8062
Mailing Address - Street 1:824 COBB ST
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-4110
Mailing Address - Country:US
Mailing Address - Phone:870-972-8062
Mailing Address - Fax:870-345-7262
Practice Address - Street 1:824 COBB ST
Practice Address - Street 2:SUITE A
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-4110
Practice Address - Country:US
Practice Address - Phone:870-972-8062
Practice Address - Fax:870-345-7262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-27
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR160203716Medicaid
ARMG00752OtherPHARMACY
AR239951737Medicaid
MO626255004Medicaid
MO626255004Medicaid