Provider Demographics
NPI:1750107363
Name:JAMALCA HOME CARE LLC
Entity type:Organization
Organization Name:JAMALCA HOME CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAVERN
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:THOMAS- MCKAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-310-5336
Mailing Address - Street 1:8825 153RD ST APT 3J
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-3752
Mailing Address - Country:US
Mailing Address - Phone:347-684-7027
Mailing Address - Fax:
Practice Address - Street 1:8825 153RD ST APT 3J
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-3752
Practice Address - Country:US
Practice Address - Phone:347-684-7027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-27
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty