Provider Demographics
NPI:1689949489
Name:J&M HOMECARE SERVICES, LLC
Entity Type:Organization
Organization Name:J&M HOMECARE SERVICES, LLC
Other - Org Name:VISITING ANGELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VINING
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:JENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-552-6500
Mailing Address - Street 1:16 CROW CANYON CT
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-1977
Mailing Address - Country:US
Mailing Address - Phone:925-552-6500
Mailing Address - Fax:925-552-6589
Practice Address - Street 1:16 CROW CANYON CT
Practice Address - Street 2:SUITE 105
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1977
Practice Address - Country:US
Practice Address - Phone:925-552-6500
Practice Address - Fax:925-552-6589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care