MEDICARE: JMARISE PROCARE 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	:	1770457335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JMARISE PROCARE LLC

Provider Business Mailing Address
First Line	:	11755 W THOMPSON RANCH RD APT 97
Second Line	:
City	:	EL MIRAGE
State	:	AZ
Zip	:	85335-3276
Country	:	US
Telephone Number	:	480-869-2427
Fax Number	:	480-869-2427

Provider Business Practice Location Address
First Line	:	11755 W THOMPSON RANCH RD APT 97
Second Line	:
City	:	EL MIRAGE
State	:	AZ
Zip	:	85335-3276
Country	:	US
Telephone Number	:	480-869-2427
Fax Number	:	480-869-2427

Authorized Official
Title or Position	:	OWNER
Name	:	MARIA L SERPAS
Credential	:
Telephone Number	:	480-869-2427

Provider Enumeration Date	:	10/06/2025
Last Update Date	:	10/06/2025

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Directions to “JMARISE PROCARE LLC ” Practice Location

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