Provider Demographics
NPI:1265757082
Name:JAMI'S ENTERPRISES, INC. EDA
Entity type:Organization
Organization Name:JAMI'S ENTERPRISES, INC. EDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:PLUMMER
Authorized Official - Last Name:HUBBARD
Authorized Official - Suffix:
Authorized Official - Credentials:N F A
Authorized Official - Phone:225-356-5635
Mailing Address - Street 1:2287 E MASON AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70805-1124
Mailing Address - Country:US
Mailing Address - Phone:225-356-5635
Mailing Address - Fax:225-357-9958
Practice Address - Street 1:2287 E MASON AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70805-1124
Practice Address - Country:US
Practice Address - Phone:225-356-5635
Practice Address - Fax:225-357-9958
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JAMI'S ENTERPRISES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-04-05
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1760683106Medicaid