Provider Demographics
NPI:1982478343
Name:J.A. P SENIOR SERVICES LLC
Entity Type:Organization
Organization Name:J.A. P SENIOR SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:YARLARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:205-253-6537
Mailing Address - Street 1:PO BOX 660944
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35266-0944
Mailing Address - Country:US
Mailing Address - Phone:205-253-6537
Mailing Address - Fax:
Practice Address - Street 1:3659 LORNA RD STE 109
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35216-5958
Practice Address - Country:US
Practice Address - Phone:205-253-6537
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management