Provider Demographics
NPI:1356068910
Name:JAMBO HOMECARE
Entity type:Organization
Organization Name:JAMBO HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:ABUONJI
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:513-470-0885
Mailing Address - Street 1:6020 HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45224-2590
Mailing Address - Country:US
Mailing Address - Phone:513-470-0885
Mailing Address - Fax:
Practice Address - Street 1:6020 HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-2590
Practice Address - Country:US
Practice Address - Phone:513-470-0885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty