Provider Demographics
NPI:1811733934
Name:JESHURUN HOME HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:JESHURUN HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:KEHINDE
Authorized Official - Middle Name:O
Authorized Official - Last Name:AYOKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-804-2847
Mailing Address - Street 1:360 MARSHA ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:TX
Mailing Address - Zip Code:76179-1383
Mailing Address - Country:US
Mailing Address - Phone:614-804-2847
Mailing Address - Fax:
Practice Address - Street 1:360 MARSHA ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:TX
Practice Address - Zip Code:76179-1383
Practice Address - Country:US
Practice Address - Phone:614-804-2847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health