Provider Demographics
NPI:1750688115
Name:JMBB, LLC
Entity Type:Organization
Organization Name:JMBB, LLC
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:VASEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-632-0924
Mailing Address - Street 1:211 1ST ST NE
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56345-2603
Mailing Address - Country:US
Mailing Address - Phone:320-632-0924
Mailing Address - Fax:320-632-0918
Practice Address - Street 1:211 1ST ST NE
Practice Address - Street 2:
Practice Address - City:LITTLE FALLS
Practice Address - State:MN
Practice Address - Zip Code:56345-2603
Practice Address - Country:US
Practice Address - Phone:320-632-0924
Practice Address - Fax:320-632-0918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-22
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN349513251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health