Provider Demographics
NPI:1578550224
Name:JENASH HOME CARE SERVICES
Entity Type:Organization
Organization Name:JENASH HOME CARE SERVICES
Other - Org Name:THE PALM OF DEBORAH FOUNDATION
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PESIDENT/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBBIN
Authorized Official - Middle Name:JENNINE
Authorized Official - Last Name:JENNETTE
Authorized Official - Suffix:
Authorized Official - Credentials:CNA,MT
Authorized Official - Phone:336-969-4348
Mailing Address - Street 1:2030 CHESAPEAKE DR
Mailing Address - Street 2:
Mailing Address - City:RURAL HALL
Mailing Address - State:NC
Mailing Address - Zip Code:27045-9728
Mailing Address - Country:US
Mailing Address - Phone:336-969-4348
Mailing Address - Fax:
Practice Address - Street 1:2030 CHESAPEAKE DR
Practice Address - Street 2:
Practice Address - City:RURAL HALL
Practice Address - State:NC
Practice Address - Zip Code:27045-9728
Practice Address - Country:US
Practice Address - Phone:336-969-4348
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health