JRB HOLDINGS, LLC (NPI# 1417205246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417205246 |
| Entity Type | Organization |
| Organization Name | JRB HOLDINGS, LLC |
| Other Organization Name | GUAVA HEALTHCARE |
| Practice Address |
9897 Lyndale Ave S Bloomington MN 55420 |
| Practice Telephone | 6122807752 |
| Practice Fax Number | 8884837338 |
| Mailing Telephone | 6122807752 |
| Mailing Fax Number | 8884837338 |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |
| Authorized Official Name | MRS. RACHEL MARIE LARSON (PRESIDENT) |
| Authorized Official Telephone | 6122807752 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 358859 | MN | Agencies |
| Other Name | Type Code |
|---|---|
| Guava Healthcare | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | JRB Holdings, LLC | 531 Wolcott Spgs. Rd., Wolcott, CO 81655 |
| Washington State Corporations | JRB HOLDINGS, LLC | 687 Beard Road, Lynden, WA 98264 |
| Alabama Business Registrations | JRB Holdings, LLC | 2171 Highway 229, Tallassee, AL 36078 |
| Connecticut Business Registrations | JRB HOLDINGS, LLC | 19 Visgrove Lane, West Hartford, CT 06117 |
| Street Address |
9897 LYNDALE AVE S |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457986556 | Jon Brookson Engfer | Counselor | 8609 Lyndale Avenue South, Bloomington, MN 55420 | 2020-03-09 |
| 1720624810 | Sunshine Assisted Living Services LLC | Home Health | 9540 Columbus Ave S, Bloomington, MN 55420 | 2019-11-23 |
| 1629223722 | Jennifer Jean Bormann | Audiologist | 8714 Lyndale Avenue South, Minneapolis, MN 55420 | 2008-11-18 |
| 1801055959 | Sarah J. Marsden | Speech-Language Pathologist | 900 W 94th St., Bloomington, MN 55420 | 2008-06-04 |
| 1699949784 | 1st Choice Care, Inc. | Home Health | 9035 Blaisdell Ave S, Bloomington, MN 55420 | 2008-04-18 |
| 1922295203 | Cornerstone Advocacy Service | Community/Behavioral Health | 1000 East 80th St, Bloomington, MN 55420 | 2007-10-01 |
| 1184769457 | Fairview Oxboro Pharmacy Mtm | Non-Pharmacy Dispensing Site | 600 W 98th Street, Bloomington, MN 55420 | 2007-02-21 |
| 1891831723 | A Caring Company, Inc. | In Home Supportive Care | 9001 East Bloomington Freeway, Sutie 145, Bloomington, MN 55420 | 2007-01-29 |
| 1134279318 | Jennifer Mary Connelly | Speech-Language Pathologist | 9001 E Bloomington Fwy Ste 141, Bloomington, MN 55420 | 2007-01-11 |
| 1912065053 | Michael Larry Herman | Chiropractor | 8400 Lyndale Ave So, Suite 4, Bloomington, MN 55420 | 2006-12-04 |
| Find all providers in zip 55420 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326942 | Shakur Abdisalam | Home Health | 1440 E Old Shakopee Rd, Bloomington, MN 55425-2438 | 2020-11-06 |
| 1740801323 | Suburban Home Health Care Agency, LLC | Home Health | 9400 Old Cedar Ave S Apt 135, Bloomington, MN 55425-2424 | 2020-05-05 |
| 1417583873 | Kelly Collier | Home Health | 1905 N Monroe St, Bloomington, IN 47404-2141 | 2020-03-18 |
| 1942848296 | Unlimited Home Health Care | Home Health | 8112 Wentworth Ave S, Bloomington, MN 55420-1109 | 2019-12-17 |
| 1720624810 | Sunshine Assisted Living Services LLC | Home Health | 9540 Columbus Ave S, Bloomington, MN 55420 | 2019-11-23 |
| 1952857005 | Polaris Home Health Care Inc | Home Health | 8609 Lyndale Ave S Ste 213c, Bloomington, MN 55420-2769 | 2016-08-29 |
| 1831596345 | Priority Homes LLC | Home Health | 1713 W 85th St, Bloomington, MN 55431-1751 | 2014-11-26 |
| 1255736583 | Estherra Care LLC | Home Health | 7437 Bristol Village Curv, Bloomington, MN 55438-2565 | 2014-10-29 |
| 1578902250 | Promise Care, Inc | Home Health | 7900 International Drive, Suite 300, Bloomington, MN 55425 | 2013-06-17 |
| 1164769790 | Hands At Home, LLC | Home Health | 7110 S Leisure Ln, Bloomington, IN 47401-9090 | 2013-01-16 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55420 |
Please comment or provide details below to improve the information on JRB HOLDINGS, LLC.
| 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.