Provider Demographics
NPI:1114633518
Name:JAYROLE HOME CARE
Entity Type:Organization
Organization Name:JAYROLE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AHMED-DAHA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-381-7929
Mailing Address - Street 1:14035 GALLOP TER
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-6130
Mailing Address - Country:US
Mailing Address - Phone:763-381-7929
Mailing Address - Fax:240-760-2030
Practice Address - Street 1:14035 GALLOP TER
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-6130
Practice Address - Country:US
Practice Address - Phone:763-381-7929
Practice Address - Fax:240-760-2030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health