Provider Demographics
NPI:1235596289
Name:JNMJ LLC
Entity Type:Organization
Organization Name:JNMJ LLC
Other - Org Name:BRIGHTSTAR CARE OF GREATER WAUKESHA AND LAKE COUNTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAHMOOD
Authorized Official - Middle Name:
Authorized Official - Last Name:GOHAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-408-5873
Mailing Address - Street 1:N27W23957 PAUL RD STE 100
Mailing Address - Street 2:
Mailing Address - City:PEWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53072-6223
Mailing Address - Country:US
Mailing Address - Phone:262-408-5873
Mailing Address - Fax:262-200-7027
Practice Address - Street 1:N27W23957 PAUL RD STE 100
Practice Address - Street 2:
Practice Address - City:PEWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53072-6223
Practice Address - Country:US
Practice Address - Phone:262-408-5873
Practice Address - Fax:262-200-7027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-21
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health