Provider Demographics
NPI:1265738298
Name:JOMAREG HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:JOMAREG HEALTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-317-3594
Mailing Address - Street 1:3127 W HALLANDALE BEACH BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33009-5157
Mailing Address - Country:US
Mailing Address - Phone:754-263-2210
Mailing Address - Fax:754-400-9946
Practice Address - Street 1:3127 W HALLANDALE BEACH BLVD STE 101
Practice Address - Street 2:
Practice Address - City:HALLANDALE
Practice Address - State:FL
Practice Address - Zip Code:33009-5157
Practice Address - Country:US
Practice Address - Phone:754-263-2210
Practice Address - Fax:754-400-9946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-09
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care