CJ Vip Care Bear Services LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

CJ VIP CARE BEAR SERVICES LLC

Practice address

2243 Hidden Creek Dr
Decatur, GA 30035-3653

Phone

(352) 857-9505

NPI assigned

Feb 7, 2025

Organization subpart

No

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

Authorized official

Name

Camille Robinson-Jones, MEDICAL ASSISTANT

Title

Manager/Owner

Phone

(352) 857-9505

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1790590859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2243 HIDDEN CREEK DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353653",
            "telephone_number": "352-857-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2243 HIDDEN CREEK DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353653",
            "telephone_number": "352-857-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJ VIP CARE BEAR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "ROBINSON-JONES",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "352-857-9505",
        "authorized_official_credential": "MEDICAL ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manju Cibi, NP-C
• Brenda Kay Cibulas, APRN, BC, CGP
• Debbie Jazmin Cifuentes, MED
• Antonella Marie Cirino, LMSW
• City Schools of Decatur
• Clairmont Chiropractic Associates, Inc.
• Aaron Cornelius Clark, MD
• Erica Clark
• Heather Michelle Clark, M.S.
• Jazmine Clark, MSW INTERN

• Adult Care Home Facility in Decatur, GA
• Providers in Decatur, GA by specialty
• Adult Care Home Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.