Provider Demographics
NPI:1942987243
Name:JAJAY RELIABLE HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:JAJAY RELIABLE HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLA
Authorized Official - Middle Name:
Authorized Official - Last Name:NKPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-326-9442
Mailing Address - Street 1:5981 HOLLETT DRIVE SOUTH
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232
Mailing Address - Country:US
Mailing Address - Phone:443-326-9442
Mailing Address - Fax:
Practice Address - Street 1:5981 HOLLETT DRIVE SOUTH
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232
Practice Address - Country:US
Practice Address - Phone:443-326-9442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-29
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty