Provider Demographics
NPI:1457705774
Name:J AND F PROFESSIONAL IN HOME CARE SERVICES FOR SENIORS
Entity Type:Organization
Organization Name:J AND F PROFESSIONAL IN HOME CARE SERVICES FOR SENIORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:A J
Authorized Official - Last Name:JORDAN-LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-980-2978
Mailing Address - Street 1:328 SHERRY LN
Mailing Address - Street 2:
Mailing Address - City:CHICAGO HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60411-1079
Mailing Address - Country:US
Mailing Address - Phone:708-980-2978
Mailing Address - Fax:708-980-2978
Practice Address - Street 1:328 SHERRY LN
Practice Address - Street 2:
Practice Address - City:CHICAGO HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60411-1079
Practice Address - Country:US
Practice Address - Phone:708-980-2978
Practice Address - Fax:708-980-2978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-22
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherNON CLINICAL IN HOME CARE SERVICES