Healthcare Provider Details

I. General information

NPI: 1992848873
Provider Name (Legal Business Name): JABBITS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 S 7TH ST
SAINT JOSEPH MO
64501-2229
US

IV. Provider business mailing address

117 S 7TH ST
SAINT JOSEPH MO
64501-2229
US

V. Phone/Fax

Practice location:
  • Phone: 816-279-1010
  • Fax: 816-279-0499
Mailing address:
  • Phone: 816-279-1010
  • Fax: 816-279-0499

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: CHAD SHANKS
Title or Position: CLINICAL DIRECTOR
Credential: RN
Phone: 816-261-5643