Organization Active NPI

Jubilee Care LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bloomfield, NJ
National Provider Identifier
1689360562
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
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

Updated by the provider on Apr 13, 2023

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

Authorized official

Name
Mr. Francis Kass-Yirenkyi, RNNPI 1588980726
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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.