Provider Demographics
NPI:1932691664
Name:JSN METROCARE, LLC
Entity Type:Organization
Organization Name:JSN METROCARE, LLC
Other - Org Name:JSN METROCARE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SIMON
Authorized Official - Middle Name:
Authorized Official - Last Name:KINGORI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-987-6627
Mailing Address - Street 1:1336 RILEY DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-1140
Mailing Address - Country:US
Mailing Address - Phone:888-987-6627
Mailing Address - Fax:972-371-0426
Practice Address - Street 1:1336 RILEY DR
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-1140
Practice Address - Country:US
Practice Address - Phone:888-987-6627
Practice Address - Fax:972-371-0426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-30
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health