Organization Active NPI

Jan & Bev'S Home Care, Inc.

  • Home Health Agency
  • Wellsville, NY
National Provider Identifier
1043372360
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1134L001 Issued in NY
Legal business name
JAN & BEV'S HOME CARE, INC.
Practice address
102 N Main St
Wellsville, NY 14895-1250
Phone
(585) 593-3760
Fax
(585) 593-6010
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Authorized official

Name
Mr. Bryan Karl
Title
VP Administrator
Phone
(585) 593-3760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1134L001 NY Primary

Addresses

Primary practice location

102 N Main St
Wellsville, NY 14895-1250

Mailing address

102 N Main St
Wellsville, NY 14895-1250
Phone (585) 593-3760

Other identifiers 2

IdentifierTypeStateIssuer
00702983MedicaidNY
01157597MedicaidNY

National Provider Directory

National Provider Directory

Locations

102 N Main St
Wellsville, NY 14895
Phone (585) 593-3760

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1043372360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N MAIN ST",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148951250",
            "telephone_number": "585-593-3760",
            "fax_number": "585-593-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N MAIN ST",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148951250",
            "telephone_number": "585-593-3760",
            "fax_number": "585-593-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN & BEV'S HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "KARL",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "VP ADMINISTRATOR",
        "authorized_official_telephone_number": "585-593-3760",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1134L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00702983",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01157597",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.