Organization Name: | JANDLS HOMECARE LLC |
NPI Number: | 1578807699 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHARITA L ROBERTS (OWNER) |
Mailing Address: | 9219 Indianapolis Blvd Highland |
State: | IN US |
Postal Code: | 463222562 |
Phone Number: | 2195955691 |
Fax Number: | |
NPI Enumeration Date: | 11/15/2012 |
NPI Last Update Date: | 11/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 12-013029-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |