Provider Demographics
NPI:1225359649
Name:AJ HOME CARE INC.
Entity Type:Organization
Organization Name:AJ HOME CARE INC.
Other - Org Name:COMFORCARE SENIOR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:JUNGHANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-285-7000
Mailing Address - Street 1:6810 OLD 28TH ST SE STE 2
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-6932
Mailing Address - Country:US
Mailing Address - Phone:616-285-7000
Mailing Address - Fax:616-285-7171
Practice Address - Street 1:6810 OLD 28TH ST SE STE 2
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-6932
Practice Address - Country:US
Practice Address - Phone:616-285-7000
Practice Address - Fax:616-285-7171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-21
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health