Organization Active NPI

JBL Enterprises, LLC

Doing business as Heart to Heart

  • In Home Supportive Care Agency
  • Palm Bay, FL
National Provider Identifier
1356659130
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
JBL ENTERPRISES, LLC
Doing business as
Heart to Heart
Hearts And Hands
Practice address
2040 Palm Bay Rd. NE
Unit 3
Palm Bay, FL 32905
Phone
(321) 952-7986
Fax
(321) 725-7380
NPI assigned
Sep 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

Name
Mr. Joseph V Libasci
Title
VP, Operations
Phone
(321) 952-7986

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X F001 FL
In Home Supportive Care Agency 253Z00000X Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

2040 Palm Bay Rd. NE
Unit 3
Palm Bay, FL 32905

Mailing address

2040 Palm Bay Rd. NE
Unit 3
Palm Bay, FL 32905
Phone (321) 952-7986

Other identifiers 1

IdentifierTypeStateIssuer
694340796MedicaidFL

Other names 2

  • Heart to Heart Doing business as
  • Hearts And Hands Doing business as

National Provider Directory

National Provider Directory

Locations

2040 Palm Bay Rd NE
Ste 3
Palm Bay, FL 32905
Phone (321) 952-7986

130 Enterprise Ave SE
Ste G
Palm Bay, FL 32909

4630 Lipscomb St NE
Ste 13
Palm Bay, FL 32905

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1356659130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 PALM BAY RD. NE",
            "address_2": "UNIT 3",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "32905",
            "telephone_number": "321-952-7986",
            "fax_number": "321-725-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 PALM BAY RD. NE",
            "address_2": "UNIT 3",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "32905",
            "telephone_number": "321-952-7986",
            "fax_number": "321-725-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JBL ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2024-09-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "LIBASCI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "VP, OPERATIONS",
        "authorized_official_telephone_number": "321-952-7986",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "F001",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "694340796",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart to Heart",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hearts And Hands",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.