Provider Demographics
NPI:1902475213
Name:JMB CONCIERGE CARE CORP.
Entity Type:Organization
Organization Name:JMB CONCIERGE CARE CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEB
Authorized Official - Middle Name:S
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-683-9881
Mailing Address - Street 1:510 MELBOURNE GLN
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92026-8569
Mailing Address - Country:US
Mailing Address - Phone:760-990-4289
Mailing Address - Fax:760-849-1330
Practice Address - Street 1:251 N CITY DR STE 128F
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-4401
Practice Address - Country:US
Practice Address - Phone:609-904-2897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-21
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care