Active NPI
JRB Holdings, LLC
- Home Health Agency
- Bloomington, MN
National Provider Identifier
1417205246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 358859
- Legal business name
- JRB HOLDINGS, LLC
- Practice address
- 9897 Lyndale Ave S
Bloomington, MN 55420 - Phone
- (612) 280-7752
- Fax
- (888) 483-7338
- NPI assigned
- Aug 28, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rachel Marie Larson
- Title
- President
- Phone
- (612) 280-7752
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 358859 | MN | Primary |
Addresses
Primary practice location
9897 Lyndale Ave S
Bloomington, MN 55420
Mailing address
9897 Lyndale Ave S
Bloomington, MN 55420
Phone (612) 280-7752
Other names 1
- Guava Healthcare
National Provider Directory
National Provider DirectoryLocations
9897 Lyndale Ave S
Bloomington, MN 55420
Phone (612) 280-7752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346112000000",
"number": "1417205246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9897 LYNDALE AVE S",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "55420",
"telephone_number": "612-280-7752",
"fax_number": "888-483-7338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9897 LYNDALE AVE S",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "55420",
"telephone_number": "612-280-7752",
"fax_number": "888-483-7338"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JRB HOLDINGS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-28",
"last_updated": "2012-08-28",
"status": "A",
"authorized_official_last_name": "LARSON",
"authorized_official_first_name": "RACHEL",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "612-280-7752",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MN",
"license": "358859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Guava Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.