Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jba Svcs Inc D/B/A Immaculate House at Countryside

Organization Assisted Living Facility · NPI 1710154604

Jba Svcs Inc D/B/A Immaculate House at Countryside is an Assisted Living Facility in Clearwater, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2542 Countryside Pines Dr
Clearwater, FL 33761-4921
Phone: (727) 934-4310
Fax: (727) 943-2075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence AL 11233 (FL)

Record details

NPI number1710154604
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationJba Svcs Inc D/B/A Forest Hills Home at Palm Harbor
Authorized official Joanne Bock-Ackerman — Alf Administrator · (727) 934-4310
Other names Forest Hills Home At Palm Harbor
NPI enumeratedMay 10, 2008
Last updated in NPPESMay 10, 2008
Mailing address3823 Pendlebury Dr, Palm Harbor, FL 34685-2670

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