Healthcare Provider Details

I. General information

NPI: 1316813496
Provider Name (Legal Business Name): JMA HOME CARE DIVISION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2025
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

349 E BLACKSTOCK RD STE B
SPARTANBURG SC
29301-3783
US

IV. Provider business mailing address

349 E BLACKSTOCK RD STE B
SPARTANBURG SC
29301-3783
US

V. Phone/Fax

Practice location:
  • Phone: 864-590-4236
  • Fax:
Mailing address:
  • Phone: 864-590-4235
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. TIMISHA JACOBS
Title or Position: OWNER / ADMINISTRATOR
Credential:
Phone: 864-590-4236