Provider Demographics
NPI:1467843409
Name:JJSJ HEALTH CARE CORP
Entity Type:Organization
Organization Name:JJSJ HEALTH CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-367-1064
Mailing Address - Street 1:11110 SW 40TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-4417
Mailing Address - Country:US
Mailing Address - Phone:786-367-1064
Mailing Address - Fax:786-313-3723
Practice Address - Street 1:11110 SW 40TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-4417
Practice Address - Country:US
Practice Address - Phone:786-367-1064
Practice Address - Fax:786-313-3723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-12
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL233853376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL233853OtherAGENCY FOR HEALTH CARE ADMINISTRATION ( HOMEMAKER & COMPANION SERVICES)