Provider Demographics
NPI:1073269874
Name:JADEN HOME HEALTH CARE CORPORATION
Entity Type:Organization
Organization Name:JADEN HOME HEALTH CARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:
Authorized Official - Last Name:IMARIAGBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-327-8373
Mailing Address - Street 1:106 N PHILADELPHIA BLVD
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:MD
Mailing Address - Zip Code:21001-2573
Mailing Address - Country:US
Mailing Address - Phone:443-327-8373
Mailing Address - Fax:667-229-5962
Practice Address - Street 1:106 N PHILADELPHIA BLVD
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-2573
Practice Address - Country:US
Practice Address - Phone:443-327-8373
Practice Address - Fax:667-229-5962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-01
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities