Healthcare Provider Details

I. General information

NPI: 1780038208
Provider Name (Legal Business Name): JMAKE HEALTH CARE SERVICES LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2016
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 INVERRARY BLVD STE # 400 C
LAUDERHILL FL
33319-4382
US

IV. Provider business mailing address

3800 INVERRARY BLVD STE # 400 C
LAUDERHILL FL
33319
US

V. Phone/Fax

Practice location:
  • Phone: 954-696-4919
  • Fax: 954-284-6508
Mailing address:
  • Phone: 954-696-4919
  • Fax: 954-284-6508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS JACQUELINE PATRICIA MCKNIGHT
Title or Position: OWNER/
Credential:
Phone: 954-696-4919