Jettie B'S Health Care Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

JETTIE B'S HEALTH CARE AGENCY LLC

Practice address

10420 Old Olive Street Rd Ste 206
Saint Louis, MO 63141-5937

Phone

(314) 551-2079

NPI assigned

May 1, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Chakita Coburn

Title

Owner

Phone

(314) 551-2079

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1932697331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10420 OLD OLIVE STREET RD STE 206",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10420 OLD OLIVE STREET RD STE 206",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415937",
            "telephone_number": "314-551-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JETTIE B'S HEALTH CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "COBURN",
        "authorized_official_first_name": "CHAKITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-551-2079",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbigail Jett
• Amanda Kathleen Jett, FNP
• Katie Jett
• Robert Andrew Jett, PHARM.D.
• Tammy Jett
• Gregory L Jewell, M.D.
• Jewish Community Center
• Jewish Family and Children'S Service
• Jewish Family Services of St. Louis
• Ajouka Jeyakumar, MD

• Home Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.