Organization Active NPI

Jba SVCS Inc D/B/a Forest Hills Home

  • Assisted Living Facility
  • Palm Harbor, FL
National Provider Identifier
1659567600
Registry record updated Sep 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10799 Issued in FL
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

Updated by the provider on Sep 23, 2007

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)CodeLicenseStatePrimary
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 Home2 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": "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.

Verify at the official NPI Registry.