Provider Demographics
NPI:1093138273
Name:J&J HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:J&J HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JIJIMOL
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-409-8943
Mailing Address - Street 1:1330 CITIZENS BLVD
Mailing Address - Street 2:SUITE 403
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-3942
Mailing Address - Country:US
Mailing Address - Phone:352-399-6886
Mailing Address - Fax:
Practice Address - Street 1:1330 CITIZENS BLVD
Practice Address - Street 2:SUITE 403
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-3942
Practice Address - Country:US
Practice Address - Phone:352-399-6886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-24
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health