Healthcare Provider Details

I. General information

NPI: 1619794278
Provider Name (Legal Business Name): JBG HOME CARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2024
Last Update Date: 09/24/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 SHUN AVE
MURRELLS INLET SC
29576-6901
US

IV. Provider business mailing address

10 SHUN AVE
MURRELLS INLET SC
29576-6901
US

V. Phone/Fax

Practice location:
  • Phone: 803-474-1604
  • Fax:
Mailing address:
  • Phone: 803-474-1604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: SABRINA CARR
Title or Position: OWNER
Credential:
Phone: 803-474-1604