Healthcare Provider Details

I. General information

NPI: 1457597890
Provider Name (Legal Business Name): JPK HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2009
Last Update Date: 10/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5829 W MAPLE RD SUITE 117
WEST BLOOMFIELD MI
48322-2294
US

IV. Provider business mailing address

5829 W MAPLE RD SUITE 117
WEST BLOOMFIELD MI
48322-2294
US

V. Phone/Fax

Practice location:
  • Phone: 248-851-4357
  • Fax: 248-851-4360
Mailing address:
  • Phone: 248-851-4357
  • Fax: 248-851-4360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateMI

VIII. Authorized Official

Name: MR. BRUCE KARP
Title or Position: OWNER
Credential:
Phone: 246-851-4357