Provider Demographics
NPI:1043650344
Name:JAKORV, INC.
Entity Type:Organization
Organization Name:JAKORV, INC.
Other - Org Name:RIGHT AT HOME BERKS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:HUTCHINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-208-0661
Mailing Address - Street 1:529 READING AVE
Mailing Address - Street 2:SUITE Q
Mailing Address - City:WEST READING
Mailing Address - State:PA
Mailing Address - Zip Code:19611-1072
Mailing Address - Country:US
Mailing Address - Phone:610-208-0661
Mailing Address - Fax:610-208-0662
Practice Address - Street 1:529 READING AVE
Practice Address - Street 2:SUITE Q
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1072
Practice Address - Country:US
Practice Address - Phone:610-208-0661
Practice Address - Fax:610-208-0662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-01
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA14593601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care