NPIMap

Organization Active NPI

Jetta Blue LLC

  • In Home Supportive Care Agency
  • Battle Creek, MI
National Provider Identifier
1386409548
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
JETTA BLUE LLC
Practice address
3401 Capital Ave SW Apt 21a
Battle Creek, MI 49015-8320
Phone
(269) 601-8800
NPI assigned
Feb 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Latonya SashingtonNPI 1609645761
Title
Owner
Phone
(269) 601-6800

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3401 Capital Ave SW Apt 21a
Battle Creek, MI 49015-8320

Mailing address

3401 Capital Ave SW Apt 21a
Battle Creek, MI 49015-8320
Phone (269) 601-6800

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": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1386409548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 CAPITAL AVE SW APT 21A",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490158320",
            "telephone_number": "269-601-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 CAPITAL AVE SW APT 21A",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490158320",
            "telephone_number": "269-601-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JETTA BLUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "SASHINGTON",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-601-6800"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.