JD Fisher LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

364700006 Issued in CA

Legal business name

JD FISHER LLC

Doing business as

comfort keepers#308

Practice address

31629 Outer Highway 10 Ste F
Redlands, CA 92373-7590

Phone

(909) 798-1199

Fax

(909) 797-4421

NPI assigned

Jun 29, 2016

Organization subpart

No

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

Authorized official

Name

Jimmy W Hammond, LISCENSEE

Title

Owner/Ceo

Phone

(909) 499-2731

Specialties & licenses 1

Addresses

Other names 1

• comfort keepers#308 Doing business as

Locations

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1568813657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31629 OUTER HIGHWAY 10 STE F",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923737590",
            "telephone_number": "909-798-1199",
            "fax_number": "909-797-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31629 OUTER HIGHWAY 10 STE F",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923737590",
            "telephone_number": "909-798-1199",
            "fax_number": "909-797-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JD FISHER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "909-499-2731",
        "authorized_official_credential": "LISCENSEE"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "364700006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "comfort keepers#308",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martinus Jansen
• Leota Janzen, PT
• Javed N. Sadiq, MD Inc
• Melody Jazeb, LCSW, BCD
• JD & Joann FS, Inc
• Jeanpaulo a. Gonzalez, Licensed Clinical Social Worker Inc.
• Jeanpaulo Alfonso Gonzalez
• Azadeh Jebelli
• Jeffrey S. Paxman, DDS, a Professional Corporation
• James William Jeffries

• In Home Supportive Care Agency in Redlands, CA
• Providers in Redlands, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.