=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346109956
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JEUNE CONCIERGE NURSING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/20/2026
-----------------------------------------------------
Last Update Date | 01/21/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 315 N ELIZABETH ST STE 315
-----------------------------------------------------
City | LIMA
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45801-4304
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-424-8855
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 315 N ELIZABETH ST STE 315
-----------------------------------------------------
City | LIMA
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45801-4304
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-424-8855
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | RN
-----------------------------------------------------
Name | SAMANTHA UWHUBETIYI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 516-424-8855
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 291U00000X
-----------------------------------------------------
Taxonomy Name | Clinical Medical Laboratory
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------