Healthcare Provider Details

I. General information

NPI: 1548189855
Provider Name (Legal Business Name): JSS CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

786 EDDY RD
CLEVELAND OH
44108-4202
US

IV. Provider business mailing address

786 EDDY RD
CLEVELAND OH
44108-4202
US

V. Phone/Fax

Practice location:
  • Phone: 216-804-0044
  • Fax:
Mailing address:
  • Phone: 216-804-0044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: TANISHA JORDAN
Title or Position: OWNER
Credential:
Phone: 216-804-0044