Provider Demographics
NPI:1780213330
Name:JBW SERVICES
Entity Type:Organization
Organization Name:JBW SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:A
Authorized Official - Last Name:WASINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-623-0997
Mailing Address - Street 1:PO BOX 310
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-0310
Mailing Address - Country:US
Mailing Address - Phone:785-621-5309
Mailing Address - Fax:785-625-8204
Practice Address - Street 1:206 CIRCLE DR
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-1639
Practice Address - Country:US
Practice Address - Phone:785-623-0997
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-06
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200377770AMedicaid