Provider Demographics
NPI:1427203934
Name:J&R SENIOR SERVICES
Entity Type:Organization
Organization Name:J&R SENIOR SERVICES
Other - Org Name:HOME CARE CONNECTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:J
Authorized Official - Last Name:PERIUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-721-1090
Mailing Address - Street 1:4010 DUPONT CIRCLE
Mailing Address - Street 2:STE #581
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207
Mailing Address - Country:US
Mailing Address - Phone:502-721-1090
Mailing Address - Fax:502-897-3334
Practice Address - Street 1:4010 DUPONT CIRCLE
Practice Address - Street 2:STE #581
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207
Practice Address - Country:US
Practice Address - Phone:502-721-1090
Practice Address - Fax:502-897-3334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty