JB Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

JB HOME CARE LLC

Practice address

14 Summer St
Derby, CT 06418-1314

Phone

(917) 868-1575

Fax

(718) 425-9293

NPI assigned

Sep 27, 2022

Organization subpart

No

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

Authorized official

Name

Mohammed A Bhuiyan

Title

President

Phone

(917) 868-1575

Specialties & licenses 1

Addresses

Other names 1

• Home Care Doing business as

Locations

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1295459907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 75TH ST STE 203",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726423",
            "telephone_number": "917-868-1575",
            "fax_number": "718-425-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 SUMMER ST",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181314",
            "telephone_number": "917-868-1575",
            "fax_number": "718-425-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JB HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "BHUIYAN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-868-1575"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deepali Jain, MD
• Sanjay Kumar Jaiswal, M.D.
• Shivani Utpal Jani, MD
• Lisa Jean Jaser
• Muhammad Huzaifa Javaid, MD
• Kevin L. Jon, MD
• Kaitlynn M Jones, PA-C
• Sarah Ann Jones, LPC
• Joseph B. Guarnaccia, MD, LLC
• Angela Julian

• In Home Supportive Care Agency in Derby, CT
• Providers in Derby, CT by specialty
• In Home Supportive Care Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.