Provider Demographics
NPI:1366677429
Name:J & S CARE INC.
Entity Type:Organization
Organization Name:J & S CARE INC.
Other - Org Name:MORNING STAR #4
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-521-0040
Mailing Address - Street 1:941 GOINS RD
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:NC
Mailing Address - Zip Code:28372-8362
Mailing Address - Country:US
Mailing Address - Phone:910-521-0040
Mailing Address - Fax:910-521-3326
Practice Address - Street 1:943 GOINS ROAD
Practice Address - Street 2:
Practice Address - City:PEMBROKE
Practice Address - State:NC
Practice Address - Zip Code:28372-8362
Practice Address - Country:US
Practice Address - Phone:910-521-0040
Practice Address - Fax:910-521-3326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-19
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHAL-078-067311500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7805807Medicaid