Provider Demographics
NPI:1710762745
Name:JAMYRAS HOMEMAKER & COMPANION SERVICE
Entity Type:Organization
Organization Name:JAMYRAS HOMEMAKER & COMPANION SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMYRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-855-4488
Mailing Address - Street 1:4161 SW 101ST PL
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:FL
Mailing Address - Zip Code:32052-3609
Mailing Address - Country:US
Mailing Address - Phone:386-855-4488
Mailing Address - Fax:
Practice Address - Street 1:4161 SW 101ST PL
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:FL
Practice Address - Zip Code:32052-3609
Practice Address - Country:US
Practice Address - Phone:386-855-4488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty