Provider Demographics
NPI:1649741984
Name:NAJJ HOMECARE OF MARIN, LLC
Entity Type:Organization
Organization Name:NAJJ HOMECARE OF MARIN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-233-7855
Mailing Address - Street 1:121 PAUL DR STE A2
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94903-2047
Mailing Address - Country:US
Mailing Address - Phone:415-233-7855
Mailing Address - Fax:
Practice Address - Street 1:121 PAUL DR STE A2
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-2047
Practice Address - Country:US
Practice Address - Phone:415-233-7855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care