1285376038 NPI number — B JAYS HEALTHCARE SOLUTIONS INC

Table of content: (NPI 1285376038)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285376038 NPI number — B JAYS HEALTHCARE SOLUTIONS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
B JAYS HEALTHCARE SOLUTIONS INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
B JAYS HEALTHCARE SOULUTIONS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285376038
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/24/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
531 LITCHFIELD WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OSWEGO
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60543-4203
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
331-717-9582
Provider Business Mailing Address Fax Number:
630-477-0510

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 CARDINAL WAY
Provider Second Line Business Practice Location Address:
UNIT 1615
Provider Business Practice Location Address City Name:
SAINT LOUIS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63102-2813
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
833-672-5297
Provider Business Practice Location Address Fax Number:
314-786-7826
Provider Enumeration Date:
04/12/2022

Additional Information

Authorized Official

Authorized Official Last Name:
BERRY
Authorized Official First Name:
NARCRISSA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
331-717-9582

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 291U00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 343900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 347E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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