Provider Demographics
NPI:1477958627
Name:JNNA HEALTH SOLUTION
Entity Type:Organization
Organization Name:JNNA HEALTH SOLUTION
Other - Org Name:BRIGHTSTAR CARE OF WELLINGTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NICOLAS
Authorized Official - Middle Name:D
Authorized Official - Last Name:MATZIRAKIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-512-0568
Mailing Address - Street 1:6801 LAKE WORTH RD
Mailing Address - Street 2:SUITE 213
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33467-2955
Mailing Address - Country:US
Mailing Address - Phone:561-515-4477
Mailing Address - Fax:561-366-7460
Practice Address - Street 1:6801 LAKE WORTH RD
Practice Address - Street 2:SUITE 213
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33467-2955
Practice Address - Country:US
Practice Address - Phone:561-515-4477
Practice Address - Fax:561-366-7460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-30
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299994319251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health