Jacbre Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

JACBRE INC.

Doing business as

Comfort Keepers 738

Practice address

3133 Van Horn Rd
Trenton, MI 48183-4070

Phone

(738) 676-6643

Fax

(734) 676-6653

NPI assigned

Aug 6, 2015

Last updated

Aug 6, 2015By 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. Lauren Pawlaczyk

Title

General Manager

Phone

(734) 676-6643

Specialties & licenses 1

Addresses

Other names 1

• Comfort Keepers 738 Doing business as

Locations

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1942686456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 VAN HORN RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481834070",
            "telephone_number": "738-676-6643",
            "fax_number": "734-676-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 VAN HORN RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481834070",
            "telephone_number": "738-676-6643",
            "fax_number": "734-676-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACBRE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-06",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "PAWLACZYK",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "734-676-6643",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers 738",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.