Provider Demographics
NPI:1386967347
Name:J.E.S.COMPANY INC
Entity type:Organization
Organization Name:J.E.S.COMPANY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JUDE
Authorized Official - Middle Name:
Authorized Official - Last Name:JULES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-302-9245
Mailing Address - Street 1:1121 ANNAPOLIS RD
Mailing Address - Street 2:#255
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-1633
Mailing Address - Country:US
Mailing Address - Phone:443-302-9245
Mailing Address - Fax:888-834-5147
Practice Address - Street 1:1121 ANNAPOLIS RD # 255
Practice Address - Street 2:
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113-1633
Practice Address - Country:US
Practice Address - Phone:443-302-9245
Practice Address - Fax:888-834-5147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-05
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21055225100000X
DCPT870888225100000X
261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0542547OtherCIGNA HEALTHCARE
MDV716-0001OtherCARE FIRST - BLUE CROSS BLUE SHIELD