JBS Adult Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906875 Issued in FL

Legal business name

JBS ADULT FAMILY CARE HOME

Practice address

2718 Shenandoah Dr S
Orange Park, FL 32073-6628

Phone

(904) 602-5389

NPI assigned

Jan 13, 2017

Organization subpart

No

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

Authorized official

Name

Breneth GutingNPI 1871042671

Title

Owner/Administrator

Phone

(904) 602-5389

Specialties & licenses 1

Addresses

Practitioners 1

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

• Breneth Guting

  • Attendant Care Provider
  • Orange Park, FL
  • NPI 1871042671
  NPD (past) Authorized official

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1194261248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 SHENANDOAH DR S",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320736628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 SHENANDOAH DR S",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320736628",
            "telephone_number": "904-602-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBS ADULT FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "GUTING",
        "authorized_official_first_name": "BRENETH",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "904-602-5389"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirstin Nicole Jarvis
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• Melanie C Javier, OD
• Melody Javier
• Jayalakshmi Padmanabhan MD, PA
• JC Dental, LLC
• Yolnie Jean Baptiste-Matilus
• Amanda Jean- Baptiste
• Jules M Jean-Pierre, MA
• Darline Jean, FNP

• Adult Care Home Facility in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.