Healthcare Provider Details

I. General information

NPI: 1396316972
Provider Name (Legal Business Name): JMAKE HEALTH CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2021
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20283 STATE ROAD 7 STE 415
BOCA RATON FL
33498-6901
US

IV. Provider business mailing address

20283 STATE ROAD 7 STE 415
BOCA RATON FL
33498-6901
US

V. Phone/Fax

Practice location:
  • Phone: 561-482-9331
  • Fax: 561-482-9329
Mailing address:
  • Phone: 561-428-9331
  • Fax: 561-482-9329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JACQUELINE MCKNIGHT
Title or Position: ADMINISTRATOR
Credential:
Phone: 954-696-4919