MEDICARE: J & J PRECIOUS HEARTS HOME CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	305S00000X	Point of Service
2	343900000X	Non-emergency Medical Transport (VAN)
3	385H00000X	Respite Care
4	385HR2055X	Child Mental Illness Respite Care
5	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
6	385HR2065X	Child Physical Disabilities Respite Care
7	174200000X	Meals Provider
8	251E00000X	Home Health Agency
9	251F00000X	Home Infusion Agency
10	253Z00000X	In Home Supportive Care Agency
11	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1033863832
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J & J PRECIOUS HEARTS HOME CARE, INC.

Provider Business Mailing Address
First Line	:	19178 HUBBELL ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48235-1927
Country	:	US
Telephone Number	:	313-743-7295
Fax Number	:

Provider Business Practice Location Address
First Line	:	19178 HUBBELL ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48235-1927
Country	:	US
Telephone Number	:	313-743-7295
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YVONNE JACKSON
Credential	:
Telephone Number	:	313-743-7295

Provider Enumeration Date	:	02/09/2022
Last Update Date	:	05/28/2024

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