Provider Demographics
NPI:1629380886
Name:JIMBO ENTERPRISE INC.
Entity Type:Organization
Organization Name:JIMBO ENTERPRISE INC.
Other - Org Name:COMFORCARE SENIOR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL VECCHIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-591-8100
Mailing Address - Street 1:4400 US HIGHWAY 9 STE 1000
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-1383
Mailing Address - Country:US
Mailing Address - Phone:732-591-8100
Mailing Address - Fax:732-860-0711
Practice Address - Street 1:4400 US HIGHWAY 9 STE 1000
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-1383
Practice Address - Country:US
Practice Address - Phone:732-591-8100
Practice Address - Fax:732-860-0711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-05
Last Update Date:2010-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0139800251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health