Provider Demographics
NPI:1821319054
Name:PJW HOME CARE, LLC
Entity Type:Organization
Organization Name:PJW HOME CARE, LLC
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:WARMERDAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-472-1080
Mailing Address - Street 1:2018 LATTA RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14612-3726
Mailing Address - Country:US
Mailing Address - Phone:585-663-5730
Mailing Address - Fax:585-663-0450
Practice Address - Street 1:2018 LATTA RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14612-3726
Practice Address - Country:US
Practice Address - Phone:585-663-5730
Practice Address - Fax:585-663-0450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-22
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health