Healthcare Provider Details

I. General information

NPI: 1851729446
Provider Name (Legal Business Name): JMBH HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2013
Last Update Date: 10/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2625 N BROAD ST
FREMONT NE
68025-2319
US

IV. Provider business mailing address

2625 N BROAD ST
FREMONT NE
68025-2319
US

V. Phone/Fax

Practice location:
  • Phone: 402-727-4270
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: JASON MCDERMOTT
Title or Position: OWNER
Credential:
Phone: 402-727-4270