MEDICARE: B JAYS HEALTHCARE SOLUTIONS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency
3	343900000X	Non-emergency Medical Transport (VAN)
4	347E00000X	Transportation Broker
5	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1285376038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B JAYS HEALTHCARE SOLUTIONS INC

Provider Business Mailing Address
First Line	:	531 LITCHFIELD WAY
Second Line	:
City	:	OSWEGO
State	:	IL
Zip	:	60543-4203
Country	:	US
Telephone Number	:	331-717-9582
Fax Number	:	630-477-0510

Provider Business Practice Location Address
First Line	:	1 CARDINAL WAY
Second Line	:	UNIT 1615
City	:	SAINT LOUIS
State	:	MO
Zip	:	63102-2813
Country	:	US
Telephone Number	:	833-672-5297
Fax Number	:	314-786-7826

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NARCRISSA BERRY
Credential	:
Telephone Number	:	331-717-9582

Provider Enumeration Date	:	04/12/2022
Last Update Date	:	07/24/2022

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