Healthcare Provider Details

I. General information

NPI: 1033024633
Provider Name (Legal Business Name): JC HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 FRANKLIN SQUARE DR
SOMERSET NJ
08873-4109
US

IV. Provider business mailing address

100 FRANKLIN SQUARE DRIVE 4TH FLOOR SUITE 437
SOMERSET NJ
08873
US

V. Phone/Fax

Practice location:
  • Phone: 347-576-6957
  • 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

VIII. Authorized Official

Name: JEAN JACQUES CHARLES
Title or Position: OWNER/ MANAGING MEMBER
Credential:
Phone: 347-576-6957