Healthcare Provider Details

I. General information

NPI: 1811819881
Provider Name (Legal Business Name): JCB WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2810 SWEET HOME RD
AMHERST NY
14228-1347
US

IV. Provider business mailing address

2810 SWEET HOME RD
AMHERST NY
14228-1347
US

V. Phone/Fax

Practice location:
  • Phone: 917-780-6320
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: JUAN BARBERIS
Title or Position: SOLE MBR
Credential:
Phone: 917-780-6320