Healthcare Provider Details
I. General information
NPI: 1790581510
Provider Name (Legal Business Name): JKARE HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/21/2025
Last Update Date: 02/21/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
645 TRESTLE AVE
PLAIN CITY OH
43064
US
IV. Provider business mailing address
645 TRESTLE AVE
PLAIN CITY OH
43064-2721
US
V. Phone/Fax
- Phone: 614-321-5699
- Fax:
- Phone: 614-321-5699
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251F00000X |
| Taxonomy | Home Infusion Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
LUCIANA
GAITHO
Title or Position: ADMINISTRATOR
Credential:
Phone: 614-321-5699