Healthcare Provider Details

I. General information

NPI: 1659140911
Provider Name (Legal Business Name): CUMMINGSCLEANING&CARINGLLCC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2023
Last Update Date: 12/28/2023
Certification Date: 12/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 WINTERS CT
JACKSON MI
49201-1124
US

IV. Provider business mailing address

409 WINTERS CT
JACKSON MI
49201-1124
US

V. Phone/Fax

Practice location:
  • Phone: 517-513-1252
  • Fax:
Mailing address:
  • Phone: 517-513-1252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JESSICA CUMMINGS
Title or Position: CEO
Credential:
Phone: 517-513-1252