Provider Demographics
NPI:1780038208
Name:JMAKE HEALTH CARE SERVICES LLC.
Entity Type:Organization
Organization Name:JMAKE HEALTH CARE SERVICES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/
Authorized Official - Prefix:MISS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:MCKNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-696-4919
Mailing Address - Street 1:3800 INVERRARY BLVD
Mailing Address - Street 2:STE # 400 C
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319
Mailing Address - Country:US
Mailing Address - Phone:954-696-4919
Mailing Address - Fax:954-284-6508
Practice Address - Street 1:3800 INVERRARY BLVD
Practice Address - Street 2:STE # 400 C
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-4382
Practice Address - Country:US
Practice Address - Phone:954-696-4919
Practice Address - Fax:954-284-6508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-21
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health