Provider Demographics
NPI:1720214950
Name:JMPB INC.
Entity Type:Organization
Organization Name:JMPB INC.
Other - Org Name:ASSISTANCE PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOHNNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BOWEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:207-453-4708
Mailing Address - Street 1:PO BOX 358
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04937-0358
Mailing Address - Country:US
Mailing Address - Phone:207-453-4708
Mailing Address - Fax:207-453-6250
Practice Address - Street 1:1604 BENTON AVE
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:ME
Practice Address - Zip Code:04901-3327
Practice Address - Country:US
Practice Address - Phone:207-453-4708
Practice Address - Fax:207-453-6250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-02
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME406317251B00000X, 251C00000X, 251S00000X
ME02971251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME127340000Medicaid
ME127340300Medicaid
ME127340201Medicaid
ME127340400Medicaid
ME127340001Medicaid
ME127340100Medicaid