Organization Active NPI

JCB Adult Day Services

  • Developmentally Disabled Services Day Training Agency
  • Oak Park, MI
National Provider Identifier
1427282136
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
JCB ADULT DAY SERVICES
Practice address
21500 Greenfield Rd
Suite 201
Oak Park, MI 48237-3009
Phone
(248) 556-5819
Fax
(248) 522-2344
NPI assigned
May 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Authorized official

Name
Mrs. Latheresa James
Title
President
Phone
(313) 399-1407

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
PACE Provider Organization 251T00000X

Addresses

Primary practice location

21500 Greenfield Rd
Suite 201
Oak Park, MI 48237-3009

Mailing address

21500 Greenfield Rd
Suite 201
Oak Park, MI 48237-3009
Phone (248) 556-5819

National Provider Directory

National Provider Directory
Tax ID family
JCB Adult Day Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1427282136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21500 GREENFIELD RD",
            "address_2": "SUITE 201",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482373009",
            "telephone_number": "248-556-5819",
            "fax_number": "248-522-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21500 GREENFIELD RD",
            "address_2": "SUITE 201",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482373009",
            "telephone_number": "248-556-5819",
            "fax_number": "248-522-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCB ADULT DAY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-08",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "LATHERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-399-1407",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.