MEDICARE: J AND J HOME CARE SERVICES LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1063868214
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J AND J HOME CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	27 LAUREL DR
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11021-2826
Country	:	US
Telephone Number	:	347-426-7773
Fax Number	:

Provider Business Practice Location Address
First Line	:	27 LAUREL DR
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11021-2826
Country	:	US
Telephone Number	:	347-426-7773
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	UZMA HOSSAIN
Credential	:
Telephone Number	:	347-426-7773

Provider Enumeration Date	:	05/06/2016
Last Update Date	:	05/06/2016

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