Jaybird Lse NB06 LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

JAYBIRD LSE NB06 LLC

Practice address

4522 Old Cherry PT Rd
New Bern, NC 28560-8012

Phone

(252) 634-1862

Fax

(252) 634-1862

NPI assigned

Jan 7, 2025

Organization subpart

No

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

Authorized official

Name

Danielle Smith

Title

Director

Phone

(252) 634-9600

Specialties & licenses 1

Addresses

Other names 1

• The Indigo at New Bern Doing business as

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1295544807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4522 OLD CHERRY PT RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285608012",
            "telephone_number": "252-634-1862",
            "fax_number": "252-634-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4522 OLD CHERRY PT RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285608012",
            "telephone_number": "252-634-1862",
            "fax_number": "252-634-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYBIRD LSE NB06 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-634-9600"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Indigo at New Bern",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric D. James, PT
• Mahogany James
• Julie Michelle Jarvis, RN
• Karen Jarvis
• Jaclyn Marie Jaskulka, AU.D
• JD&L Operations Divison, LLC
• Mariah Jenkins
• Stuart Clark Jennings, M.D.
• David Blackwell Jessup, M.D.
• Jose Nicolas Jimenez Zuluaga, MD

• Assisted Living Facility in New Bern, NC
• Providers in New Bern, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.