Organization Active NPI

JBS Care Company

  • Durable Medical Equipment & Medical Supplies
  • Warren, MI
National Provider Identifier
1043200850
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JBS CARE COMPANY
Practice address
24919 Gibson Suite a
Warren, MI 48089-3903
Phone
(586) 754-0350
Fax
(586) 754-0359
NPI assigned
Oct 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Authorized official

Name
Donald Bortz Sr.
Title
Ceo
Phone
(586) 754-0350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

24919 Gibson Suite a
Warren, MI 48089-3903

Mailing address

24919 Gibson Suite a
Warren, MI 48089-3903
Phone (586) 754-0350

Other identifiers 1

IdentifierTypeStateIssuer
3047771MedicaidMI

National Provider Directory

National Provider Directory

Locations

24919 Gibson Dr
Ste A
Warren, MI 48089
Phone (586) 754-0350

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1043200850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24919 GIBSON SUITE A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480893903",
            "telephone_number": "586-754-0350",
            "fax_number": "586-754-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24919 GIBSON SUITE A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480893903",
            "telephone_number": "586-754-0350",
            "fax_number": "586-754-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBS CARE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-24",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "BORTZ",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-754-0350",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3047771",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.