Provider Demographics
NPI:1811373889
Name:THE AJETS CORPORATION
Entity Type:Organization
Organization Name:THE AJETS CORPORATION
Other - Org Name:GUARDIANLITE HOME CARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADEYANJU
Authorized Official - Middle Name:
Authorized Official - Last Name:AJETUNMOBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-453-2489
Mailing Address - Street 1:1179 W 11TH ST APT 6
Mailing Address - Street 2:
Mailing Address - City:SAN PEDRO
Mailing Address - State:CA
Mailing Address - Zip Code:90731-3442
Mailing Address - Country:US
Mailing Address - Phone:213-453-2489
Mailing Address - Fax:
Practice Address - Street 1:1179 W 11TH ST APT 6
Practice Address - Street 2:
Practice Address - City:SAN PEDRO
Practice Address - State:CA
Practice Address - Zip Code:90731-3442
Practice Address - Country:US
Practice Address - Phone:213-453-2489
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-31
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95061273251C00000X, 251J00000X, 251S00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health