Provider Demographics
NPI:1558992032
Name:LJ CARE SERVICES, INC.
Entity Type:Organization
Organization Name:LJ CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTERIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-609-7342
Mailing Address - Street 1:314 SAINT MARTIN DR
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94065-2800
Mailing Address - Country:US
Mailing Address - Phone:415-609-7342
Mailing Address - Fax:
Practice Address - Street 1:314 SAINT MARTIN DR
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94065-2800
Practice Address - Country:US
Practice Address - Phone:415-609-7342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care