JAK PROPERTIES INC (NPI# 1295092500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295092500 |
| Entity Type | Organization |
| Organization Name | JAK PROPERTIES INC |
| Other Organization Name | A1 HOME CARE |
| Practice Address |
522 Benham St Suite B Bonne Terre MO 63628 |
| Mailing Address |
25 Dale St Bonne Terre MO 63628-1311 |
| Practice Telephone | 5733587755 |
| Practice Fax Number | 5733587788 |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2019-09-12 |
| Authorized Official Name | AMY KELLER (PRESIDENT OF CORPORATION) |
| Authorized Official Telephone | 5737475885 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| A1 Home Care | Doing Business As Name - Organization |
| Street Address |
522 BENHAM ST SUITE B |
| City | BONNE TERRE |
| State | MO |
| Zip Code | 63628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437675477 | Kybama, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 12729 Stoney Point Rd, Bonne Terre, MO 63628 | 2017-08-22 |
| 1013121599 | Joseph Richard Engel | Dentist | 20 W Johnson St, Bonne Terre, MO 63628 | 2007-05-10 |
| 1215093844 | Debra Long Morgan | Dentist | 20 West Johnson Street, Bonne Terre, MO 63628 | 2006-12-28 |
| 1497811459 | Robert Oliver Greenwald | Dentist | #20 W Johnson, Bonne Terre, MO 63628 | 2006-12-27 |
| 1255964508 | American Nursing & Rehab LLC | Assisted Living Facility | 10 Lake Drive, Bonne Terre, MO 63628 | 2020-02-14 |
| 1962679746 | Robert O Greenwald Dds PC | Dentist | #20 W Johnson, Bonne Terre, MO 63628 | 2008-05-12 |
| 1427045004 | Pairat Vibulakaopun | Internal Medicine | 527 Benham St, Bonne Terre, MO 63628-1205 | 2005-09-29 |
| 1124014030 | Kenny Ratana | Radiology | 527 Benham St # B, Bonne Terre, MO 63628-1205 | 2005-09-26 |
| 1669017315 | Patricia Ann Peterson | Nurse Practitioner | 527 Benham St, Bonne Terre, MO 63628-1205 | 2019-11-15 |
| 1225562077 | Ronay Rodgers | Nurse Practitioner | 527 Benham St, Bonne Terre, MO 63628-1205 | 2017-04-19 |
| Find all providers in zip 63628 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306732 | New Life In Home Services, LLC | In Home Supportive Care | 119 Church St Ste 220, Ferguson, MO 63135-2460 | 2020-11-06 |
| 1609477173 | Contrive Home Care Solutions LLC | In Home Supportive Care | 2839 Monroe Ave, Kansas City, MO 64128-1494 | 2020-11-02 |
| 1134729015 | Nurturing Family Home Healthcare LLC | In Home Supportive Care | 805 5th Plz, Florissant, MO 63031-1820 | 2020-10-29 |
| 1861092843 | Jerome Care, LLC | In Home Supportive Care | 517 Se 2nd St Ste B, Lees Summit, MO 64063-2629 | 2020-10-28 |
| 1073112868 | Kb Cds Health Services | In Home Supportive Care | 5431 Chippewa St Unit B103, Saint Louis, MO 63109-1635 | 2020-10-22 |
| 1285233536 | Hoping Hands Homecare LLC | In Home Supportive Care | 5046 Ridge Ave, Saint Louis, MO 63113-1404 | 2020-10-19 |
| 1013516442 | So Awesome Health Services LLC | In Home Supportive Care | 1517 Galway Ct, Liberty, MO 64068-3392 | 2020-10-16 |
| 1790383024 | Angel Home Care LLC | In Home Supportive Care | 324 Se Canter Cir, Lees Summit, MO 64082-8218 | 2020-10-09 |
| 1326645946 | Life Enhancements Home Health Care, LLC | In Home Supportive Care | 119 Church St Ste 224, Ferguson, MO 63135-2442 | 2020-10-06 |
| 1437766821 | Altrua Personal Care LLC | In Home Supportive Care | 1906 Ne Knollbrook St, Lees Summit, MO 64086-3457 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | BONNE TERRE |
| Zip Code | 63628 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.