Provider Demographics
NPI:1356850614
Name:JEEM ENTERPRISES INC
Entity Type:Organization
Organization Name:JEEM ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:RODENBUSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-205-0022
Mailing Address - Street 1:34072 US HIGHWAY 19 N.
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684
Mailing Address - Country:US
Mailing Address - Phone:727-205-0022
Mailing Address - Fax:727-205-0002
Practice Address - Street 1:34072 US HIGHWAY 19 N
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-2644
Practice Address - Country:US
Practice Address - Phone:727-205-0022
Practice Address - Fax:727-205-0002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299994640251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health