Provider Demographics
NPI:1952813198
Name:K&J CAREGIVER SERVICES INC
Entity Type:Organization
Organization Name:K&J CAREGIVER SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHNINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-924-3346
Mailing Address - Street 1:PO BOX 858
Mailing Address - Street 2:
Mailing Address - City:THONOTOSASSA
Mailing Address - State:FL
Mailing Address - Zip Code:33592-0858
Mailing Address - Country:US
Mailing Address - Phone:813-924-3346
Mailing Address - Fax:
Practice Address - Street 1:8538 TRAIL WIND DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-3497
Practice Address - Country:US
Practice Address - Phone:813-924-3346
Practice Address - Fax:813-924-3346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-27
Last Update Date:2017-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
1851810360OtherINDIVIDUAL