Healthcare Provider Details

I. General information

NPI: 1184357477
Provider Name (Legal Business Name): JUSONCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2022
Last Update Date: 07/05/2022
Certification Date: 06/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CARIBOU LN
MIDDLETOWN DE
19709-1174
US

IV. Provider business mailing address

300 CARIBOU LN
MIDDLETOWN DE
19709-1174
US

V. Phone/Fax

Practice location:
  • Phone: 302-345-3003
  • Fax:
Mailing address:
  • Phone: 302-345-3003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: JUSLYNE FLEURANTUS
Title or Position: CEO
Credential:
Phone: 302-345-3003