Organization Active NPI

Jabo Girl Cleaning and Personal Care Services LLC

  • In Home Supportive Care Agency
  • Warren, MI
National Provider Identifier
1508613191
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
JABO GIRL CLEANING AND PERSONAL CARE SERVICES LLC
Doing business as
Jabo Girl Cleaning And Personal Care Services LLC
Practice address
7580 Wood Ave
Warren, MI 48091-2034
Phone
(586) 438-4542
NPI assigned
May 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Authorized official

Name
Shurie WilliamsNPI 1487404117
Title
Owner
Phone
(586) 438-4542

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

7580 Wood Ave
Warren, MI 48091-2034

Mailing address

7580 Wood Ave
Warren, MI 48091-2034
Phone (586) 438-4542

Other names 1

  • Jabo Girl Cleaning And Personal Care Services LLC Doing business as

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": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1508613191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 WOOD AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912034",
            "telephone_number": "586-438-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 WOOD AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912034",
            "telephone_number": "586-438-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JABO GIRL CLEANING AND PERSONAL CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHURIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-438-4542"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jabo Girl Cleaning And Personal Care Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.