Healthcare Provider Details

I. General information

NPI: 1831929173
Provider Name (Legal Business Name): JENKINS INVESTMENT GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2024
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19266 GREYDALE AVE
DETROIT MI
48219-1839
US

IV. Provider business mailing address

28 W GRAND RIVER AVE APT 1009
DETROIT MI
48226-5203
US

V. Phone/Fax

Practice location:
  • Phone: 832-331-1112
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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
# 3
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: JAIRUS JENKINS
Title or Position: CEO
Credential:
Phone: 832-331-1112