Healthcare Provider Details

I. General information

NPI: 1396664652
Provider Name (Legal Business Name): JUST IN CASE HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 RICH SMITH WAY # 409
JACKSON TN
38301-2641
US

IV. Provider business mailing address

100 RICH SMITH WAY # 409 409
JACKSON TN
38301-2641
US

V. Phone/Fax

Practice location:
  • Phone: 731-267-7681
  • Fax:
Mailing address:
  • Phone: 731-267-7681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA MOORE
Title or Position: OWNER
Credential:
Phone: 731-267-7681