Diyar Jebur

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

1164 Bridgton Rd
Westbrook, ME 04092-2504

Phone

(832) 638-3862

NPI assigned

Jan 30, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• I Care Home Care

  • Personal Care Attendant
  • Westbrook, ME
  • NPI 1225892821

  Single Specialty

  NPD Authorized official
• We Care Home Care

  • Personal Care Attendant
  • Westbrook, ME
  • NPI 1912842501

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1841053287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 BRIDGTON RD",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922504",
            "telephone_number": "832-638-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1164 BRIDGTON RD",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922504",
            "telephone_number": "832-638-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEBUR",
        "first_name": "DIYAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Impactful Residential Care, LLC (Irc, LLC)
• Katharine Ingwersen, LCSW
• Integrative Body Network
• Mackinleigh Isherwood, PHARMD
• Diane Jaeckel, LCSW
• Gretchen Jefferson, PH.D., BCBA-D, NCSP
• John Skvorak Jr., D.M.D.
• Ellis A Johnson, MD
• Kaitlin Johnson, OTR/L
• Mitchel Jones, LD

• Personal Care Attendant in Westbrook, ME
• Providers in Westbrook, ME by specialty
• Personal Care Attendant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.