Provider Demographics
NPI:1184888224
Name:JANEL SERVICES INC
Entity type:Organization
Organization Name:JANEL SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:A
Authorized Official - Last Name:GIVANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-653-0387
Mailing Address - Street 1:838 NW 183RD ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-4203
Mailing Address - Country:US
Mailing Address - Phone:305-653-0387
Mailing Address - Fax:305-653-2273
Practice Address - Street 1:838 NW 183RD ST
Practice Address - Street 2:SUITE 101
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-4203
Practice Address - Country:US
Practice Address - Phone:305-653-0387
Practice Address - Fax:305-653-2273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL684927096Medicaid