Healthcare Provider Details

I. General information

NPI: 1679515902
Provider Name (Legal Business Name): JAR, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8181 PROFESSIONAL PL STE 105
LANDOVER MD
20785-2264
US

IV. Provider business mailing address

816 E 3RD ST
FARMVILLE VA
23901-1608
US

V. Phone/Fax

Practice location:
  • Phone: 703-912-2080
  • Fax: 703-912-2090
Mailing address:
  • Phone: 434-392-7336
  • Fax: 434-392-9609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: EDWIN VETTER
Title or Position: VP RCM
Credential:
Phone: 502-432-9202