NPIMap

Organization Active NPI

JBM Health and Educational Services Inc

  • Community Based Hospice Care Agency
  • Waltham, MA
National Provider Identifier
1306465554
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
JBM HEALTH AND EDUCATIONAL SERVICES INC
Practice address
24 Crescent St Ste 302
Waltham, MA 02453-4360
Phone
(617) 314-6622
Fax
(617) 224-4300
NPI assigned
Apr 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Authorized official

Name
Vivian NatooloNPI 1760178263
Title
President/Ceo
Phone
(617) 314-6622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X
Community Based Hospice Care Agency 251G00000X Primary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X
Assisted Living Facility (Mental Illness) 3104A0625X
Nursing Facility/Intermediate Care Facility 313M00000X
Prosthetic/Orthotic Supplier 335E00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X
Secured Medical Transport (VAN) 343800000X
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

24 Crescent St Ste 302
Waltham, MA 02453-4360

Mailing address

24 Crescent St Ste 302
Waltham, MA 02453-4360
Phone (774) 327-5346

Other names 1

  • JBM INTERNATIONAL STUDENTS SERVICES INC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address transport@jbmshealth.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1306465554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CRESCENT ST STE 302",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024534360",
            "telephone_number": "774-327-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CRESCENT ST STE 302",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024534360",
            "telephone_number": "617-314-6622",
            "fax_number": "617-224-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBM HEALTH AND EDUCATIONAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "NATOOLO",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "617-314-6622"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "transport@jbmshealth.com",
            "affiliation": "N",
            "address_1": "24 Crescent St Ste 302",
            "city": "Waltham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024534360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "JBM INTERNATIONAL STUDENTS SERVICES INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "JBM INTERNATIONAL STUDENTS SERVICES INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; 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.