Provider Demographics
NPI:1558904003
Name:JINOW CARE LLC
Entity Type:Organization
Organization Name:JINOW CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDNA
Authorized Official - Middle Name:ADAN
Authorized Official - Last Name:FARAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-367-4526
Mailing Address - Street 1:1 W LAKE ST STE 165
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-4789
Mailing Address - Country:US
Mailing Address - Phone:612-367-4526
Mailing Address - Fax:612-460-9060
Practice Address - Street 1:1 WEST LAKE ST SUITE 165 #4
Practice Address - Street 2:1 WEST LAKE ST STE 165 UNIT 4
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-5540
Practice Address - Country:US
Practice Address - Phone:612-367-4526
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-28
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health