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General NPI Number Information
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NPI Number | 1194492793
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Entity Type | Organization
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Legal Business Name | JG HOME CARE, INC.
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Dates
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Enumeration Date | 08/23/2021
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Last Update Date | 02/29/2024
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Provider Practice Location Address
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Address Line | 629 E 22ND ST
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City | BROOKLYN
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State | NY
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Zip | 11210-1101
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Country | US
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Telephone | 917-804-3705
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Fax |
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Provider Business Mailing Address
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Address Line | 2414 65TH ST STE 964
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City | BROOKLYN
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State | NY
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Zip | 11204-4136
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Country | US
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Telephone | 917-804-3705
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JENNIFER GARIB
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Credential | FNP
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Telephone | 917-804-3705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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