Provider Demographics
NPI:1013443852
Name:JC HOME CARE ALF, LLC
Entity Type:Organization
Organization Name:JC HOME CARE ALF, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:ALEJANDRO
Authorized Official - Last Name:COLLADO-ARMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-446-0386
Mailing Address - Street 1:6217 PALMVIEW CT
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33625-5633
Mailing Address - Country:US
Mailing Address - Phone:813-325-5883
Mailing Address - Fax:813-474-4084
Practice Address - Street 1:6217 PALMVIEW CT
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33625-5633
Practice Address - Country:US
Practice Address - Phone:813-325-5883
Practice Address - Fax:813-474-4084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility