=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669803235
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JAMHURI HEALTHCARE SERVICES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/09/2013
-----------------------------------------------------
Last Update Date | 12/09/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 621 RALSTON AVE
-----------------------------------------------------
City | PIKESVILLE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21208-4842
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-484-3656
-----------------------------------------------------
Fax | 410-484-3656
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 32381
-----------------------------------------------------
City | PIKESVILLE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21282-2381
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-484-3656
-----------------------------------------------------
Fax | 410-484-3656
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MRS. ROSEMARY K KAHUKI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 410-484-3656
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | R2360
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------