Provider Demographics
NPI:1831950351
Name:J&K HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:J&K HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JADRANKA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLOVJEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-378-8222
Mailing Address - Street 1:5126 S 108TH ST
Mailing Address - Street 2:
Mailing Address - City:HALES CORNERS
Mailing Address - State:WI
Mailing Address - Zip Code:53130-1329
Mailing Address - Country:US
Mailing Address - Phone:414-378-8222
Mailing Address - Fax:
Practice Address - Street 1:5126 S 108TH ST
Practice Address - Street 2:
Practice Address - City:HALES CORNERS
Practice Address - State:WI
Practice Address - Zip Code:53130-1329
Practice Address - Country:US
Practice Address - Phone:414-378-8222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health