Provider Demographics
NPI:1134729874
Name:JJP IN-HOME CARE AGENCY, LLC
Entity type:Organization
Organization Name:JJP IN-HOME CARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHIQUITA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEADMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSN RN
Authorized Official - Phone:803-239-1095
Mailing Address - Street 1:2724 W PALMETTO ST STE 5
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-4909
Mailing Address - Country:US
Mailing Address - Phone:843-407-7070
Mailing Address - Fax:
Practice Address - Street 1:2724 W PALMETTO ST STE 12G
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-4909
Practice Address - Country:US
Practice Address - Phone:843-407-7070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-30
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care