Provider Demographics
NPI:1508441932
Name:CJPS HOME CARE, LLC
Entity Type:Organization
Organization Name:CJPS HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COTA/L
Authorized Official - Prefix:
Authorized Official - First Name:JHUTY
Authorized Official - Middle Name:
Authorized Official - Last Name:KEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-670-3329
Mailing Address - Street 1:15506 N 170TH LN
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85388-1372
Mailing Address - Country:US
Mailing Address - Phone:623-670-3329
Mailing Address - Fax:
Practice Address - Street 1:8679 E SAN ALBERTO
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4368
Practice Address - Country:US
Practice Address - Phone:480-447-3262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-17
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service