Healthcare Provider Details

I. General information

NPI: 1497150957
Provider Name (Legal Business Name): J AND BF SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2014
Last Update Date: 10/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

718 S MAIN ST SUITE A
RED LION PA
17356-2605
US

IV. Provider business mailing address

718 S MAIN ST SUITE A
RED LION PA
17356-2605
US

V. Phone/Fax

Practice location:
  • Phone: 717-244-9090
  • Fax: 717-417-3896
Mailing address:
  • Phone: 717-244-9090
  • Fax: 717-417-3896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number14983601
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1015193660001
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name: MR. JEFFREY ERIC FIX
Title or Position: PRESIDENT
Credential:
Phone: 717-244-9090