Provider Demographics
NPI:1295459907
Name:JB HOME CARE LLC
Entity type:Organization
Organization Name:JB HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:A
Authorized Official - Last Name:BHUIYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-868-1575
Mailing Address - Street 1:3712 75TH ST STE 203
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-6423
Mailing Address - Country:US
Mailing Address - Phone:917-868-1575
Mailing Address - Fax:718-425-9293
Practice Address - Street 1:14 SUMMER ST
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:CT
Practice Address - Zip Code:06418-1314
Practice Address - Country:US
Practice Address - Phone:917-868-1575
Practice Address - Fax:718-425-9293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-27
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care