Provider Demographics
NPI:1609497395
Name:JMJ HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:JMJ HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDRES JR
Authorized Official - Middle Name:JAGARAP
Authorized Official - Last Name:MELANIO-MARQUINA
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:925-392-8536
Mailing Address - Street 1:8640 BRENTWOOD BLVD STE D1
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-5687
Mailing Address - Country:US
Mailing Address - Phone:925-390-9575
Mailing Address - Fax:
Practice Address - Street 1:8640 BRENTWOOD BLVD STE D1
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-5687
Practice Address - Country:US
Practice Address - Phone:925-390-9575
Practice Address - Fax:925-392-8539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-04
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based