MEDICARE: JML CARE CENTER, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	0917	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2222536901	OTHER	MA	BLUE CROSS
2	000000029999	OTHER	MA	HEALTHNET
3	904621	OTHER	MA	TUFTS
4	901535	OTHER	MA	PILGRIM HEALTH
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	5786360001	OTHER	MA	PART B

General Provider Information

NPI Number	:	1114922176
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JML CARE CENTER, INC

Provider Business Mailing Address
First Line	:	184 TER HEUN DR
Second Line	:
City	:	FALMOUTH
State	:	MA
Zip	:	02540-2503
Country	:	US
Telephone Number	:	508-457-4621
Fax Number	:	508-457-1218

Provider Business Practice Location Address
First Line	:	184 TER HEUN DR
Second Line	:
City	:	FALMOUTH
State	:	MA
Zip	:	02540-2503
Country	:	US
Telephone Number	:	508-457-4621
Fax Number	:	508-457-1218

Authorized Official
Title or Position	:	ACCOUNTS RECEIVABLE
Name	:	MS. ROBIN SPOFFORD
Credential	:
Telephone Number	:	508-457-4621

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	04/28/2009

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Directions to “JML CARE CENTER, INC ” Practice Location

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