Provider Demographics
NPI:1225470610
Name:J&J HOME CARE, INC.
Entity Type:Organization
Organization Name:J&J HOME CARE, INC.
Other - Org Name:ACTI-KARE RESPONSIVE IN-HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULI
Authorized Official - Middle Name:
Authorized Official - Last Name:WALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-493-1251
Mailing Address - Street 1:8997 HIGHWAY 5
Mailing Address - Street 2:
Mailing Address - City:LAKE ELMO
Mailing Address - State:MN
Mailing Address - Zip Code:55042-8900
Mailing Address - Country:US
Mailing Address - Phone:651-493-1251
Mailing Address - Fax:651-493-6696
Practice Address - Street 1:8997 HIGHWAY 5
Practice Address - Street 2:
Practice Address - City:LAKE ELMO
Practice Address - State:MN
Practice Address - Zip Code:55042-8900
Practice Address - Country:US
Practice Address - Phone:651-493-1251
Practice Address - Fax:651-493-6696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-25
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN28754251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health