Provider Demographics
NPI:1134478779
Name:JNN HOME CARE, INC.
Entity Type:Organization
Organization Name:JNN HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO/AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHEKILA
Authorized Official - Middle Name:OYANA
Authorized Official - Last Name:DUPREE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:910-374-2234
Mailing Address - Street 1:109 LEGGETT ST
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-7335
Mailing Address - Country:US
Mailing Address - Phone:910-374-2234
Mailing Address - Fax:
Practice Address - Street 1:109 LEGGETT ST
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-7335
Practice Address - Country:US
Practice Address - Phone:910-374-2234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-29
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4567251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care