Healthcare Provider Details

I. General information

NPI: 1447115811
Provider Name (Legal Business Name): JOVANS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5370 LESSANDRO ST
SAGINAW MI
48603-3625
US

IV. Provider business mailing address

5370 LESSANDRO ST
SAGINAW MI
48603-3625
US

V. Phone/Fax

Practice location:
  • Phone: 240-547-8341
  • Fax:
Mailing address:
  • Phone: 240-547-8341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: AKOUELE J BURLURAUX
Title or Position: RN
Credential:
Phone: 240-547-8341