Healthcare Provider Details

I. General information

NPI: 1083552095
Provider Name (Legal Business Name): JESSCARING HOME CARE & SUPPORT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 07/05/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 RENAISSANCE CTR
DETROIT MI
48243-1502
US

IV. Provider business mailing address

253 BAY PINE DR
CRAWFORDVILLE FL
32327-0815
US

V. Phone/Fax

Practice location:
  • Phone: 448-215-4109
  • Fax:
Mailing address:
  • Phone: 448-215-4109
  • Fax: 850-702-5708

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

VIII. Authorized Official

Name: JESSE MAE JENKINS
Title or Position: OWNER
Credential:
Phone: 448-215-4109