Healthcare Provider Details

I. General information

NPI: 1528052073
Provider Name (Legal Business Name): SJC HOME HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2005
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4635 NEW JESUP HWY
BRUNSWICK GA
31520-1204
US

IV. Provider business mailing address

5510 PAULSEN ST
SAVANNAH GA
31405-4903
US

V. Phone/Fax

Practice location:
  • Phone: 912-265-8330
  • Fax: 912-265-9071
Mailing address:
  • Phone: 912-265-8330
  • Fax: 912-265-9071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number063-114
License Number StateGA

VIII. Authorized Official

Name: PAUL P HINCHEY
Title or Position: PRESIDENT/CEO
Credential:
Phone: 912-819-6901