Organization Active NPI

JBNP Services, LLC

Doing business as Superior Health Staffing of Michigan

  • Adult Health Nurse Practitioner
  • Livonia, MI
National Provider Identifier
1023637766
Registry record updated Nov 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
JBNP SERVICES, LLC
Doing business as
Superior Health Staffing of Michigan
Superior Home Health of Michigan
Practice address
38221 Plymouth Rd Ste 3
Livonia, MI 48150-1051
Phone
(734) 658-9592
Fax
(734) 293-4240
NPI assigned
Apr 13, 2020
Last updated
Nov 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2021

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

Authorized official

Name
Jaafer Beydoun, NPNPI 1083172878
Title
Nurse Practitioner
Phone
(734) 658-9592

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Health Service Clinic/Center 261QH0100X NU
Acute Care Nurse Practitioner 363LA2100X NU
Adult Health Nurse Practitioner 363LA2200X NU Primary

Addresses

Primary practice location

38221 Plymouth Rd Ste 3
Livonia, MI 48150-1051

Mailing address

38221 Plymouth Rd Ste 3
Livonia, MI 48150-1051
Phone (734) 221-0236

Other names 2

  • Superior Health Staffing of Michigan Doing business as
  • Superior Home Health of Michigan Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200423003448 MI Part B Supplier - Clinic/Group Practice 9436589918 Receives reassigned benefits from 4 practitioners
Practice locations: Livonia, MI

National Provider Directory

National Provider Directory
Tax ID family
JBNP Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

38221 Plymouth Rd
Ste 3
Livonia, MI 48150
Phone (734) 221-0236

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637366400000",
    "number": "1023637766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38221 PLYMOUTH RD STE 3",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501051",
            "telephone_number": "734-221-0236",
            "fax_number": "734-293-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38221 PLYMOUTH RD STE 3",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501051",
            "telephone_number": "734-658-9592",
            "fax_number": "734-293-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBNP SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2021-11-20",
        "certification_date": "2021-11-20",
        "status": "A",
        "authorized_official_last_name": "BEYDOUN",
        "authorized_official_first_name": "JAAFER",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "734-658-9592",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superior Health Staffing of Michigan",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Superior Home Health of Michigan",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Superior Home Health of Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.