Provider Demographics
NPI:1407108947
Name:J.PRIVATE HOME CARE, LNC.
Entity Type:Organization
Organization Name:J.PRIVATE HOME CARE, LNC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:P
Authorized Official - Prefix:MR
Authorized Official - First Name:JEREMIAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-469-4511
Mailing Address - Street 1:112 SW 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-5338
Mailing Address - Country:US
Mailing Address - Phone:305-469-4511
Mailing Address - Fax:
Practice Address - Street 1:112 SW 7TH AVE
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-5338
Practice Address - Country:US
Practice Address - Phone:305-469-4511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-08
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health