Provider Demographics
NPI:1255653184
Name:JUST IN TIME CARE SERVICES
Entity Type:Organization
Organization Name:JUST IN TIME CARE SERVICES
Other - Org Name:JUST IN TIME ELDERLY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:REX
Authorized Official - Last Name:ORGEN
Authorized Official - Suffix:
Authorized Official - Credentials:BUSINESS ADMINISTRA
Authorized Official - Phone:614-985-3555
Mailing Address - Street 1:5320 E MAIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-2567
Mailing Address - Country:US
Mailing Address - Phone:614-985-3555
Mailing Address - Fax:614-985-3155
Practice Address - Street 1:1425 E DUBLIN GRANVILLE RD
Practice Address - Street 2:SUITE 202
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3325
Practice Address - Country:US
Practice Address - Phone:614-985-3555
Practice Address - Fax:614-985-3155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-19
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2743160Medicaid