Provider Demographics
NPI:1285425413
Name:LOHMEYER, JAINIELE
Entity type:Individual
Prefix:
First Name:JAINIELE
Middle Name:
Last Name:LOHMEYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1203 E GERONIMO PL
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-2049
Mailing Address - Country:US
Mailing Address - Phone:480-597-5052
Mailing Address - Fax:480-687-7022
Practice Address - Street 1:1203 E GERONIMO PL
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-2049
Practice Address - Country:US
Practice Address - Phone:480-597-5052
Practice Address - Fax:480-687-7022
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAL12430H310400000X, 311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility