Jubilee Group Home Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

001007275 Issued in TX

Legal business name

JUBILEE GROUP HOME INC.

Practice address

2678 Laurel Avenue
Beaumont, TX 77702-2205

Phone

(409) 347-2093

Fax

(281) 561-8022

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Ezigbo Umeorah, PH.D.

Title

Ceo

Phone

(832) 508-2748

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1083817191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 OLD WINDSOR WAY",
            "city": "SUGARLAND",
            "state": "TX",
            "postal_code": "774794143",
            "telephone_number": "832-508-2748",
            "fax_number": "281-561-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2678 LAUREL AVENUE",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777022205",
            "telephone_number": "409-347-2093",
            "fax_number": "281-561-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBILEE GROUP HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "UMEORAH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EZIGBO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-508-2748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "TX",
            "license": "001007275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Joseph
• Shyria Joseph
• Reeti K. Joshi, MD, PA
• Christina Joubert
• Dorothy Bernadine Joubert, SLP-ASSISTANT
• Kathryn Jufiar, RN
• Susie Jung, PHARMD
• Just Med Work PLLC
• Justin L. Morrison, DDS, PC
• Faidat Jyoti

• Mental Illness Community Based Residential Treatment Facility in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Mental Illness Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.