Provider Demographics
NPI:1891410122
Name:JLF SENIOR CARE
Entity Type:Organization
Organization Name:JLF SENIOR CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FARINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-245-0083
Mailing Address - Street 1:547 UNION BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:TOTOWA
Mailing Address - State:NJ
Mailing Address - Zip Code:07512-2480
Mailing Address - Country:US
Mailing Address - Phone:973-362-0130
Mailing Address - Fax:
Practice Address - Street 1:547 UNION BLVD STE 1
Practice Address - Street 2:
Practice Address - City:TOTOWA
Practice Address - State:NJ
Practice Address - Zip Code:07512-2480
Practice Address - Country:US
Practice Address - Phone:973-362-0130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care