Provider Demographics
NPI:1386817930
Name:JOHNSON HOMECARE SERVICES, LLC
Entity Type:Organization
Organization Name:JOHNSON HOMECARE SERVICES, LLC
Other - Org Name:COMFORCARE SENIOR SERVICES NPB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:NEGRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-630-1620
Mailing Address - Street 1:9121 N. MILITARY TRAIL
Mailing Address - Street 2:SUITE 216
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410
Mailing Address - Country:US
Mailing Address - Phone:561-630-1620
Mailing Address - Fax:561-630-1621
Practice Address - Street 1:9121 N. MILITARY TRAIL
Practice Address - Street 2:SUITE 216
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410
Practice Address - Country:US
Practice Address - Phone:561-630-1620
Practice Address - Fax:561-630-1621
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMFORCARE HEALTH CARE HOLDINGS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-03
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993098251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health