Organization Active NPI

Jira, LLC

  • Home Health Agency
  • Saginaw, MI
National Provider Identifier
1770734618
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JIRA, LLC
Practice address
4760 Fashion Square Blvd
Saginaw, MI 48604-2620
Phone
(989) 249-0241
Fax
(989) 249-0195
NPI assigned
Oct 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Jamin Ruark
Title
Member
Phone
(734) 560-8956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4760 Fashion Square Blvd
Saginaw, MI 48604-2620

Mailing address

11373 Willow Wood LN
Plymouth, MI 48170-3593

National Provider Directory

National Provider Directory

Locations

801 W Ann Arbor Trl
#201
Plymouth, MI 48170
Phone (248) 358-1186

4760 Fashion Square Blvd
Saginaw, MI 48604
Phone (888) 758-5709

Practitioners & affiliated clinicians

Practitioners 2

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": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1770734618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11373 WILLOW WOOD LN",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 FASHION SQUARE BLVD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042620",
            "telephone_number": "989-249-0241",
            "fax_number": "989-249-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIRA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "RUARK",
        "authorized_official_first_name": "JAMIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "734-560-8956"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.