Active NPI
Jubilee Care LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Bloomfield, NJ
National Provider Identifier
1689360562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- JUBILEE CARE LLC
- Practice address
- 1442 Broad St Ste 208
Bloomfield, NJ 07003-3046 - Phone
- (646) 685-9604
- NPI assigned
- Apr 13, 2023
- 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
- Mr. Francis Kass-Yirenkyi, RN
- Title
- Director
- Phone
- (551) 275-6632
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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Home Health Agency | 251E00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Supports Brokerage Agency | 251X00000X | |||
| Health Maintenance Organization | 302R00000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
1442 Broad St Ste 208
Bloomfield, NJ 07003-3046
Mailing address
1442 Broad St Ste 208
Bloomfield, NJ 07003-3046
Phone (646) 685-9604
Other names 1
- Jubilee Care LLC
National Provider Directory
National Provider DirectoryLocations
1442 Broad St
Ste 208
Bloomfield, NJ 07003
Phone (646) 685-9604
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Bronx, NY
- NPI 1588980726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681344000000",
"number": "1689360562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1442 BROAD ST STE 208",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070033046",
"telephone_number": "646-685-9604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1442 BROAD ST STE 208",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070033046",
"telephone_number": "646-685-9604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUBILEE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-13",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A",
"authorized_official_last_name": "KASS-YIRENKYI",
"authorized_official_first_name": "FRANCIS",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "551-275-6632",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": null,
"license": null,
"primary": false
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jubilee Care LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bloomfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.