Organization Active NPI

Jbo,Inc

  • Case Management Agency
  • Charlotte, NC
National Provider Identifier
1164185039
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
JBO,INC
Doing business as
JBO,Inc
Practice address
1425 Luther St Apt 102
Charlotte, NC 28204-3492
Phone
(704) 309-7687
NPI assigned
Oct 18, 2021
Last updated
Oct 18, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
JBO, MINISTRIES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Authorized official

Name
Ms. Tanetta Roslyn Isaacs, FOUNDER/CEO
Title
Case Manager/Care Manager
Phone
(704) 309-7687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

1425 Luther St Apt 102
Charlotte, NC 28204-3492

Mailing address

1425 Luther St Apt 102
Charlotte, NC 28204-3492
Phone (704) 309-7687

Other names 1

  • JBO,Inc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1164185039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 LUTHER ST APT 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043492",
            "telephone_number": "704-309-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 LUTHER ST APT 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043492",
            "telephone_number": "704-309-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBO,INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JBO, MINISTRIES, LLC",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "ISAACS",
        "authorized_official_first_name": "TANETTA",
        "authorized_official_middle_name": "ROSLYN",
        "authorized_official_title_or_position": "CASE MANAGER/CARE MANAGER",
        "authorized_official_telephone_number": "704-309-7687",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FOUNDER/CEO"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JBO,Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.