Healthcare Provider Details

I. General information

NPI: 1053958041
Provider Name (Legal Business Name): JABEZ HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2019
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2799 NW 2ND AVE STE H117
BOCA RATON FL
33431-6716
US

IV. Provider business mailing address

2101 SW 101ST AVE STE 206
MIRAMAR FL
33025-5090
US

V. Phone/Fax

Practice location:
  • Phone: 754-244-5808
  • Fax: 305-676-9040
Mailing address:
  • Phone: 754-244-5808
  • Fax: 305-676-9040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. MARTINE J MILLER
Title or Position: ADMINISTRATOR
Credential:
Phone: 754-244-5808