=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386577542
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | J&B HUMAN SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/06/2026
-----------------------------------------------------
Last Update Date | 06/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 44 PINERIDGE WAY UNIT 44
-----------------------------------------------------
City | MIDDLEBORO
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02346-3240
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 617-272-5104
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 44 PINERIDGE WAY UNIT 44
-----------------------------------------------------
City | MIDDLEBORO
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02346-3240
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 617-272-5104
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. JERRY CLERVIL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 508-927-1040
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251B00000X
-----------------------------------------------------
Taxonomy Name | Case Management Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------