Provider Demographics
NPI:1568134203
Name:JEM SENIOR HOME CARE LLC
Entity Type:Organization
Organization Name:JEM SENIOR HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JONEDEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:PANGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-392-2679
Mailing Address - Street 1:111 DOVE COTE CT
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE STATION
Mailing Address - State:NJ
Mailing Address - Zip Code:08889-3261
Mailing Address - Country:US
Mailing Address - Phone:908-392-2679
Mailing Address - Fax:
Practice Address - Street 1:111 DOVE COTE CT
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE STATION
Practice Address - State:NJ
Practice Address - Zip Code:08889-3261
Practice Address - Country:US
Practice Address - Phone:908-392-2679
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-30
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care