Provider Demographics
NPI:1982340055
Name:JT4 SARASOTA CARE LLC
Entity Type:Organization
Organization Name:JT4 SARASOTA CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHARRIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-504-7188
Mailing Address - Street 1:339 INTERSTATE BLVD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34240-8597
Mailing Address - Country:US
Mailing Address - Phone:941-951-2242
Mailing Address - Fax:941-951-2243
Practice Address - Street 1:339 INTERSTATE BLVD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34240-8597
Practice Address - Country:US
Practice Address - Phone:941-951-2242
Practice Address - Fax:941-951-2243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-10
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health