Organization Active NPI

JJBP, LLC

Doing business as Home Instead 854

  • In Home Supportive Care Agency
  • Owasso, OK
National Provider Identifier
1093482234
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
JJBP, LLC
Doing business as
Home Instead 854
Practice address
9500 N 129TH East Ave Ste 200
Owasso, OK 74055-5376
Phone
(539) 208-5010
NPI assigned
Aug 25, 2021
Last updated
Jan 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Authorized official

Name
Robert Michael Boyd
Title
Owner
Phone
(539) 208-5010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

9500 N 129TH East Ave Ste 200
Owasso, OK 74055-5376

Mailing address

9500 N 129TH East Ave Ste 200
Owasso, OK 74055-5376
Phone (539) 208-5010

Other practice location 1

414 N Wilson St Ste 4
Vinita, OK 74301-2420
Phone (539) 208-5010

Other names 1

  • Home Instead 854 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Home Instead 8542 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

202 S Cedar St
Ste D
Owasso, OK 74055

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1093482234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 N 129TH EAST AVE STE 200",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555376",
            "telephone_number": "539-208-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 N 129TH EAST AVE STE 200",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740555376",
            "telephone_number": "539-208-5010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 N Wilson St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Vinita",
            "state": "OK",
            "postal_code": "743012420",
            "country_code": "US",
            "telephone_number": "539-208-5010",
            "fax_number": "539-208-5248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JJBP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-25",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "539-208-5010"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead 854",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home Instead 854",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.