Provider Demographics
NPI:1770295099
Name:JYB HOMECARE
Entity type:Organization
Organization Name:JYB HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIET
Authorized Official - Middle Name:WEBB
Authorized Official - Last Name:BALLARD
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:734-972-5208
Mailing Address - Street 1:8174 CYPRESS CIR
Mailing Address - Street 2:
Mailing Address - City:DEXTER
Mailing Address - State:MI
Mailing Address - Zip Code:48130-9101
Mailing Address - Country:US
Mailing Address - Phone:734-972-5208
Mailing Address - Fax:
Practice Address - Street 1:8174 CYPRESS CIR
Practice Address - Street 2:
Practice Address - City:DEXTER
Practice Address - State:MI
Practice Address - Zip Code:48130-9101
Practice Address - Country:US
Practice Address - Phone:734-972-5208
Practice Address - Fax:734-424-1176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health