Organization Active NPI

JRB Holdings, LLC

  • Home Health Agency
  • Bloomington, MN
National Provider Identifier
1417205246
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
358859 Issued in MN
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

Updated by the provider on Aug 28, 2012

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.