Jubar LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JUBAR LLC

Doing business as

New Balance Hot Springs

Practice address

201 Airport Rd
Hot Springs, AR 71913-4060

Phone

(501) 794-1356

Fax

(501) 794-1356

NPI assigned

Jan 22, 2007

Last updated

Nov 9, 2009By 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. Holley Ann Dickinson

Title

Owner

Phone

(501) 794-1356

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NEW BALANCE HOT SPRINGS Doing business as

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1780738310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 AIRPORT RD",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719134060",
            "telephone_number": "501-794-1356",
            "fax_number": "501-794-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 AIRPORT RD",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719134060",
            "telephone_number": "501-794-1356",
            "fax_number": "501-794-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "DICKINSON",
        "authorized_official_first_name": "HOLLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-794-1356",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165812716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW BALANCE HOT SPRINGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Dee Jordan, P.T.
• Linda Josef, PH.D
• Stanley Stephen Josef, M.D.
• Joseph M Lacava
• Joseph M. Lacava, DPM.,PA
• Karen Marie Kagebein, RN
• Reva Kain
• Kajon Corporation (Primary Home Care)
• Sunilkumar Kakadia, MD
• Radhika Kakarla, MBBS

• Durable Medical Equipment & Medical Supplies in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.