Jacob's Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

JACOB'S HOME CARE LLC

Practice address

2343 N Delaware Ave
Springfield, MO 65803-4112

Phone

(417) 351-5308

Fax

(417) 350-1489

NPI assigned

Mar 27, 2018

Last updated

Mar 27, 2018By 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

Camelia Iacob

Title

Owner/President

Phone

(417) 844-8635

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1881199388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2343 N DELAWARE AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658034112",
            "telephone_number": "417-351-5308",
            "fax_number": "417-350-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2343 N DELAWARE AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658034112",
            "telephone_number": "417-351-5308",
            "fax_number": "417-350-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB'S HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "IACOB",
        "authorized_official_first_name": "CAMELIA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "417-844-8635"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael M Jackson, LMSW
• Sarah Beth Jackson, DDS
• Shawn Barrett Jackson, M,D,
• Tierra Leanne Jackson, TATTOO LICENSE
• Wendy R Jackson, LCSW
• Blake Jacobs, MD
• Courtney M. Jacobson, LCSW
• Ryinne A Jacquemin, NASM-CPT
• Gary Brett Jacques, MS, PLPC
• Wayne L Jaeger, CRNA

• In Home Supportive Care Agency in Springfield, MO
• Providers in Springfield, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.