Provider Demographics
NPI:1164029930
Name:JUST LIKE FAMILY HOME CARE LLC
Entity Type:Organization
Organization Name:JUST LIKE FAMILY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:866-553-2659
Mailing Address - Street 1:910 E NORTHSIDE DR # 910E
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39206-5533
Mailing Address - Country:US
Mailing Address - Phone:866-553-2659
Mailing Address - Fax:866-553-2659
Practice Address - Street 1:910 E NORTHSIDE DR # 910E
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39206-5533
Practice Address - Country:US
Practice Address - Phone:866-553-2659
Practice Address - Fax:866-553-2659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS331219OtherLPN LICENSE