Provider Demographics
NPI:1033795380
Name:JAYDS HOME CARE, LLC
Entity Type:Organization
Organization Name:JAYDS HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:DIONNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GIPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-238-4014
Mailing Address - Street 1:2444 COMMERCE RD STE 129
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-7561
Mailing Address - Country:US
Mailing Address - Phone:910-238-4014
Mailing Address - Fax:910-238-4019
Practice Address - Street 1:2444 COMMERCE RD STE 129
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-7561
Practice Address - Country:US
Practice Address - Phone:910-238-4014
Practice Address - Fax:910-238-4019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-18
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker