Job Squad, Inc. in Bridgeport - Day Training, Developmentally Disabled Services
Job Squad, Inc. - NPI 1871761312
Job Squad, Inc. is a Day Training, Developmentally Disabled Services in Bridgeport, . Job Squad, Inc. practices all healthcare services and medical treatments related to Day Training, Developmentally Disabled Services. The NPI Number for Job Squad, Inc. is 1871761312. The last update date is 2008-02-19.
Job Squad, Inc.'s current location address is 102 Second Street, Bridgeport, . You can contact this provider via phone number 3048480850 and fax number 3048480851. The mailing address for Job Squad, Inc. is 102 Second Street, Bridgeport, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Job Squad, Inc. |
|---|---|
| Address | 102 Second Street, Bridgeport, |
| Phone Number | 3048480850 |
| Fax Number | 3048480851 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SES MANAGE |
|---|---|
| Authorized Official Name | Sickles Russell |
| Telephone Number | 3048480850 |
NPI Number Detail
| NPI Number | 1871761312 |
|---|---|
| Provider Enumeration Date | 2008-02-19 |
| Last Updated Date | 2008-02-19 |
Provider Mailing Address Detail
| Address | 102 Second Street |
|---|---|
| City | Bridgeport |
| State | (WV) |
| Post Code | 26330 |
| Phone Number | 3048480850 |
| Fax Number | 3048480851 |
Provider's Primary Taxonomy Detail
| Speciality | Day Training, Developmentally Disabled Services |
|---|---|
| Taxonomy | 251C00000X |
| Licence No | 3502004000 |
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Definition: These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3502004000 | WV | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Job Squad, Inc. by the Centers for Medicare & Medicaid Services?
The Job Squad, Inc. has been issued the NPI (National Provider Identifier) 1871761312. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Job Squad, Inc. is physically located?
The Job Squad, Inc. is situated at the following address: 102 Second Street, Bridgeport, WV 26330.
What is Job Squad, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Job Squad, Inc.'s specialized field of practice is Day Training, Developmentally Disabled Services, and the corresponding taxonomy code that categorizes this area of specialization is 251C00000X.
When did Job Squad, Inc. receive its 1871761312 assignment?
The Job Squad, Inc. was assigned its 1871761312 on 2008-02-19, which is the date when this unique identifier was issued to the organization.
When was the information regarding Job Squad, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Job Squad, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-02-19.