Provider Demographics
NPI:1811742489
Name:J'PIC VENTURES LLC
Entity type:Organization
Organization Name:J'PIC VENTURES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOME CARE
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:KARGBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-551-5657
Mailing Address - Street 1:5122 WYATT JAMES LN
Mailing Address - Street 2:
Mailing Address - City:BROOKSHIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77423-2864
Mailing Address - Country:US
Mailing Address - Phone:250-551-5657
Mailing Address - Fax:
Practice Address - Street 1:5122 WYATT JAMES LN
Practice Address - Street 2:
Practice Address - City:BROOKSHIRE
Practice Address - State:TX
Practice Address - Zip Code:77423-2864
Practice Address - Country:US
Practice Address - Phone:240-551-5657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services