MEDICARE: J&M HOMECARE SERVICES, 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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1689949489
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J&M HOMECARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	16 CROW CANYON CT
Second Line	:	SUITE 105
City	:	SAN RAMON
State	:	CA
Zip	:	94583-1977
Country	:	US
Telephone Number	:	925-552-6500
Fax Number	:	925-552-6589

Provider Business Practice Location Address
First Line	:	16 CROW CANYON CT
Second Line	:	SUITE 105
City	:	SAN RAMON
State	:	CA
Zip	:	94583-1977
Country	:	US
Telephone Number	:	925-552-6500
Fax Number	:	925-552-6589

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. VINING ERIC JENSEN
Credential	:
Telephone Number	:	925-552-6500

Provider Enumeration Date	:	03/13/2012
Last Update Date	:	03/13/2012

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