Provider Demographics
NPI:1518207620
Name:TEAM JAYNE, LLC
Entity Type:Organization
Organization Name:TEAM JAYNE, LLC
Other - Org Name:ASSISTING HANDS HOME CARE OF THE MIDLANDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:G
Authorized Official - Last Name:FALK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-661-7557
Mailing Address - Street 1:PO BOX 2563
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29071-2563
Mailing Address - Country:US
Mailing Address - Phone:803-661-7557
Mailing Address - Fax:855-205-4533
Practice Address - Street 1:104 HAMILTON ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-2116
Practice Address - Country:US
Practice Address - Phone:803-661-7557
Practice Address - Fax:855-205-4533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-26
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC251E00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC=========Medicaid