Healthcare Provider Details

I. General information

NPI: 1306375431
Provider Name (Legal Business Name): JMKAY HEALTH CARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5956 GARWOOD RD N
BROOKLYN PARK MN
55443-3100
US

IV. Provider business mailing address

5956 GARWOOD RD N
BROOKLYN PARK MN
55443-3100
US

V. Phone/Fax

Practice location:
  • Phone: 763-245-0668
  • Fax:
Mailing address:
  • Phone: 763-245-0668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number381372
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number381372
License Number StateMN

VIII. Authorized Official

Name: OLAJUMOKE ADEDAYO OLADEJI
Title or Position: ADMINISTRATOR
Credential:
Phone: 763-245-0668