Provider Demographics
NPI:1700311487
Name:JEM COMPANION CARE INC
Entity Type:Organization
Organization Name:JEM COMPANION CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILIENNE
Authorized Official - Middle Name:
Authorized Official - Last Name:CADICHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-712-8005
Mailing Address - Street 1:289 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:ROOSEVELT
Mailing Address - State:NY
Mailing Address - Zip Code:11575-1140
Mailing Address - Country:US
Mailing Address - Phone:347-712-8005
Mailing Address - Fax:
Practice Address - Street 1:289 PARK AVE
Practice Address - Street 2:
Practice Address - City:ROOSEVELT
Practice Address - State:NY
Practice Address - Zip Code:11575-1140
Practice Address - Country:US
Practice Address - Phone:347-712-8005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-01
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care