Provider Demographics
NPI:1134776248
Name:ANTHONY G. JAMMAL HOME CARE LLC
Entity type:Organization
Organization Name:ANTHONY G. JAMMAL HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMMAL
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:530-269-8321
Mailing Address - Street 1:735 SUNRISE AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-4596
Mailing Address - Country:US
Mailing Address - Phone:530-269-8321
Mailing Address - Fax:530-269-8318
Practice Address - Street 1:735 SUNRISE AVE STE 220
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-4596
Practice Address - Country:US
Practice Address - Phone:530-269-8321
Practice Address - Fax:530-269-8318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-22
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care