Healthcare Provider Details

I. General information

NPI: 1881487676
Provider Name (Legal Business Name): KJJ HEALTHCARE LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2025
Last Update Date: 05/26/2025
Certification Date: 05/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11108 DARROW RD
VERMILION OH
44089-9352
US

IV. Provider business mailing address

11108 DARROW RD
VERMILION OH
44089-9352
US

V. Phone/Fax

Practice location:
  • Phone: 617-360-1642
  • Fax:
Mailing address:
  • Phone: 617-360-1642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. JULIE ELIZABETH SCHLENKERMAN
Title or Position: PARTNER/RN
Credential:
Phone: 617-360-1642