Provider Demographics
NPI:1083079933
Name:JCN QUALITY HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:JCN QUALITY HOME HEALTH CARE INC.
Other - Org Name:JCN QUALITY HOME HEALTH CARE INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CERTIFIED NURSING ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:JASMINE
Authorized Official - Middle Name:C
Authorized Official - Last Name:NOEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-348-0817
Mailing Address - Street 1:1710 NE 2ND TER
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-5222
Mailing Address - Country:US
Mailing Address - Phone:954-348-0817
Mailing Address - Fax:
Practice Address - Street 1:1710 NE 2ND TER
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-5222
Practice Address - Country:US
Practice Address - Phone:954-348-0817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherTIN