Healthcare Provider Details

I. General information

NPI: 1205741352
Provider Name (Legal Business Name): JKO CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 RENAISSANCE CIR STE 5
MAULDIN SC
29662-2459
US

IV. Provider business mailing address

120 RENAISSANCE CIR STE 5
MAULDIN SC
29662-2459
US

V. Phone/Fax

Practice location:
  • Phone: 864-209-1299
  • Fax:
Mailing address:
  • Phone: 864-209-1299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: ALEXIA LAQUITA THOMASON
Title or Position: OWNER
Credential:
Phone: 864-436-4620