Provider Demographics
NPI:1245938844
Name:EJAI LOVES HOMECARE SERVICES INC
Entity type:Organization
Organization Name:EJAI LOVES HOMECARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:JEANBART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-799-2900
Mailing Address - Street 1:PO BOX 6081
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33508-6001
Mailing Address - Country:US
Mailing Address - Phone:718-799-2900
Mailing Address - Fax:813-851-4179
Practice Address - Street 1:401 E JACKSON ST STE 3300
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-5228
Practice Address - Country:US
Practice Address - Phone:813-851-4178
Practice Address - Fax:813-851-4179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL117866900Medicaid