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NPI Code Detail

MEDICARE: JOYFUL LIVING CARE LLC

MEDICARE: JOYFUL LIVING CARE LLC
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
1251E00000XHome Health Agency
2261QD1600XDevelopmental Disabilities Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316404965
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOYFUL LIVING CARE LLC
Provider Business Mailing Address
First Line : 1812 W SYLVANIA AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43613-4639
Country : US
Telephone Number : 419-490-5200
Fax Number : 419-458-0544
Provider Business Practice Location Address
First Line : 1812 W SYLVANIA AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43613-4639
Country : US
Telephone Number : 419-490-5200
Fax Number : 419-458-0544
Authorized Official
Title or Position : CEO/CFO
Name : SHAWNDRA OWENS
Credential :
Telephone Number : 419-490-5200
Provider Enumeration Date : 03/01/2019
Last Update Date : 04/06/2026

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Directions to “JOYFUL LIVING CARE LLC ” Practice Location

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