Provider Demographics
NPI:1770457335
Name:JMARISE PROCARE LLC
Entity type:Organization
Organization Name:JMARISE PROCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SERPAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-869-2427
Mailing Address - Street 1:11755 W THOMPSON RANCH RD APT 97
Mailing Address - Street 2:
Mailing Address - City:EL MIRAGE
Mailing Address - State:AZ
Mailing Address - Zip Code:85335-3276
Mailing Address - Country:US
Mailing Address - Phone:480-869-2427
Mailing Address - Fax:480-869-2427
Practice Address - Street 1:11755 W THOMPSON RANCH RD APT 97
Practice Address - Street 2:
Practice Address - City:EL MIRAGE
Practice Address - State:AZ
Practice Address - Zip Code:85335-3276
Practice Address - Country:US
Practice Address - Phone:480-869-2427
Practice Address - Fax:480-869-2427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care