CJB Enterprises LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1000733 Issued in TX

Legal business name

CJB ENTERPRISES LLC

Doing business as

LifeMed

Practice address

2420 Highway 287 N Ste 112
Mansfield, TX 76063-8850

Phone

(682) 518-9016

Fax

(682) 518-9553

NPI assigned

Nov 9, 2011

Last updated

Jul 26, 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. Mary T Gentile

Title

Authorized Official

Phone

(860) 257-7080

Specialties & licenses 1

Addresses

Other names 1

• LifeMed Doing business as

Locations

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343260800000",
    "number": "1821375585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290184",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061290184",
            "telephone_number": "860-257-7080",
            "fax_number": "860-563-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 HIGHWAY 287 N STE 112",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638850",
            "telephone_number": "682-518-9016",
            "fax_number": "682-518-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJB ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2012-07-26",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "860-257-7080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "1000733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeMed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abraham Chukwu, MD
• Lilian Mokeira Chuma, FNP-C
• Olivia Donata Ciccone, PA-C
• City of Mansfield (Mansfield Fire Rescue)
• Citydoc Urgent Care Center 4, PLLC
• CKD Hospice & Palliative Care Inc (CKD Homecare Services)
• Joseph Clark-Thrower
• Krystin Louise Clark, MS CCC SLP
• Sherryl Clark, LPC
• Doris Lewis Claset, LPC

• Ambulance in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.