Organization Active NPI

JBD Home Health Aide

  • Home Health Aide
  • Brockton, MA
National Provider Identifier
1013773118
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
JBD HOME HEALTH AIDE
Practice address
15 Midland St
Brockton, MA 02301-1769
Phone
(774) 297-0191
NPI assigned
Feb 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jean Bradley Derenoncourt
Title
Ceo
Phone
(508) 316-9709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

15 Midland St
Brockton, MA 02301-1769

Mailing address

15 Midland St
Brockton, MA 02301-1769
Phone (774) 297-0191

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1013773118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MIDLAND ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011769",
            "telephone_number": "774-297-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MIDLAND ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011769",
            "telephone_number": "774-297-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBD HOME HEALTH AIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "DERENONCOURT",
        "authorized_official_first_name": "JEAN BRADLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-316-9709"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.