Jag Health Care

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SP9697 Issued in OH

Legal business name

JAG HEALTH CARE

Practice address

14976 Burbank Rd
Burbank, OH 44214-9763

Phone

(330) 624-1030

Fax

(330) 682-7406

NPI assigned

Oct 15, 2012

Last updated

Oct 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Lynn Beard, MA.,CCC-SLP

Title

Speech-Language Pathologist

Phone

(330) 472-0619

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1699027631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12960 GREENWICH RD",
            "city": "HOMERVILLE",
            "state": "OH",
            "postal_code": "442359725",
            "telephone_number": "330-472-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14976 BURBANK RD",
            "city": "BURBANK",
            "state": "OH",
            "postal_code": "442149763",
            "telephone_number": "330-624-1030",
            "fax_number": "330-682-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAG HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "330-472-0619",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA.,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "SP9697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Burbank, OH
• Providers in Burbank, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.