Healthcare Provider Details

I. General information

NPI: 1184777344
Provider Name (Legal Business Name): JMJ HEALTHCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 02/14/2022
Certification Date: 02/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8640 BRENTWOOD BLVD STE D
BRENTWOOD CA
94513-5659
US

IV. Provider business mailing address

8640 BRENTWOOD BLVD STE D
BRENTWOOD CA
94513-5659
US

V. Phone/Fax

Practice location:
  • Phone: 925-634-1100
  • Fax: 925-634-1232
Mailing address:
  • Phone: 925-634-1100
  • Fax: 925-634-1232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHEILAH LEAL
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 925-634-1100