Provider Demographics
NPI:1689269557
Name:TJS HOMECARE SERVICE LLC
Entity Type:Organization
Organization Name:TJS HOMECARE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TASHA
Authorized Official - Middle Name:MARGARET
Authorized Official - Last Name:JOERN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-541-9003
Mailing Address - Street 1:PO BOX 10063
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58106-0063
Mailing Address - Country:US
Mailing Address - Phone:701-541-9003
Mailing Address - Fax:
Practice Address - Street 1:3100 33RD ST SW APT 107
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-7826
Practice Address - Country:US
Practice Address - Phone:701-799-1740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-03
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care