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General NPI Number Information
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NPI Number | 1669971933
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Entity Type | Organization
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Legal Business Name | JUBILANT CARE LLC
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Dates
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Enumeration Date | 02/01/2018
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 7759 W BECKETT AVE
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City | MILWAUKEE
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State | WI
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Zip | 53218-5318
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Country | US
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Telephone | 414-702-8766
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Fax | 414-295-9025
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Provider Business Mailing Address
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Address Line | LATRONDA JONES 225 W BAYSIDE DR #216
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City | GLENDALE
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State | WI
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Zip | 53217-5052
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Country | US
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Telephone | 414-702-8766
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Fax | 414-295-9025
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Authorized Official
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Title or Position | OWNER
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Name | LATRONDA JONES
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Credential |
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Telephone | 414-702-8766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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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 | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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