Provider Demographics
NPI:1992024319
Name:JAS HOME CARE, LLC
Entity Type:Organization
Organization Name:JAS HOME CARE, LLC
Other - Org Name:SYNERGY HOME CARE OF ROCHESTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:SOWIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-622-9860
Mailing Address - Street 1:410 W UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48307-1938
Mailing Address - Country:US
Mailing Address - Phone:248-608-3970
Mailing Address - Fax:248-608-3971
Practice Address - Street 1:410 W UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-1938
Practice Address - Country:US
Practice Address - Phone:248-608-3970
Practice Address - Fax:248-608-3971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-25
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care