Healthcare Provider Details

I. General information

NPI: 1558174581
Provider Name (Legal Business Name): CAJDA CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7030 LEE HWY STE 102
CHATTANOOGA TN
37421-6795
US

IV. Provider business mailing address

7030 LEE HWY STE 102
CHATTANOOGA TN
37421-6795
US

V. Phone/Fax

Practice location:
  • Phone: 423-819-2518
  • Fax: 423-515-1708
Mailing address:
  • Phone: 678-712-8521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JAKOBI BARLOW
Title or Position: OWNER
Credential:
Phone: 678-712-8521