Active NPI
Jba SVCS Inc D/B/a Forest Hills Home
- Assisted Living Facility
- Palm Harbor, FL
National Provider Identifier
1659567600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL10799
- Legal business name
- JBA SVCS INC D/B/A FOREST HILLS HOME
- Practice address
- 3672 Fairway Forest Cir
Palm Harbor, FL 34685-1001 - Phone
- (727) 934-4310
- Fax
- (727) 943-2075
- NPI assigned
- Sep 23, 2007
- 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
- Ms. Joanne Bock-Ackerman, ACHA ALF ADMINISTR
- Title
- Alf Administrator
- Phone
- (727) 934-4310
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL10799 | FL | Primary |
Addresses
Primary practice location
3672 Fairway Forest Cir
Palm Harbor, FL 34685-1001
Mailing address
3823 Pendlebury Dr
Palm Harbor, FL 34685-2670
Phone (727) 934-4310
National Provider Directory
National Provider Directory- Tax ID family
- Jba SVCS Inc Dba Forest Hills Home
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Clearwater, FL
- NPI 1710154604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190505600000",
"number": "1659567600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3823 PENDLEBURY DR",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346852670",
"telephone_number": "727-934-4310",
"fax_number": "727-943-2075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3672 FAIRWAY FOREST CIR",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346851001",
"telephone_number": "727-934-4310",
"fax_number": "727-943-2075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JBA SVCS INC D/B/A FOREST HILLS HOME",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-23",
"last_updated": "2007-09-23",
"status": "A",
"authorized_official_last_name": "BOCK-ACKERMAN",
"authorized_official_first_name": "JOANNE",
"authorized_official_title_or_position": "ALF ADMINISTRATOR",
"authorized_official_telephone_number": "727-934-4310",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "ACHA ALF ADMINISTR"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL10799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.