Provider Demographics
NPI:1558908020
Name:J.C. HOME CARE INC
Entity Type:Organization
Organization Name:J.C. HOME CARE INC
Other - Org Name:JC HOME MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAE
Authorized Official - Middle Name:H
Authorized Official - Last Name:CHUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-448-9827
Mailing Address - Street 1:PO BOX 56624
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32241-6624
Mailing Address - Country:US
Mailing Address - Phone:904-448-9827
Mailing Address - Fax:904-425-4948
Practice Address - Street 1:23 S YONGE ST
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-6230
Practice Address - Country:US
Practice Address - Phone:904-448-9827
Practice Address - Fax:904-425-4948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-04
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies