JBM Healthcare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

JBM HEALTHCARE LLC

Practice address

17640 S Tamiami TRL
Fort Myers, FL 33908-4840

Phone

(706) 315-3480

NPI assigned

Nov 25, 2015

Organization subpart

No

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

Authorized official

Name

Jordan Martin

Title

Chief Financial Officer

Phone

(706) 315-3480

Specialties & licenses 1

Addresses

Other names 1

• Executive Care Doing business as

Locations

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1205200466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16325 S TAMIAMI TRL",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339085327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17640 S TAMIAMI TRL",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084840",
            "telephone_number": "706-315-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBM HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-25",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "706-315-3480"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Executive Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Daphnie Jean Mary

• In Home Supportive Care Agency in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.