MEDICARE: JOEMAX HEALTHCARE 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	251E00000X	Home Health Agency
2	251J00000X	Nursing Care Agency
3	251S00000X	Community/Behavioral Health Agency	HC4819	NC
4	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1316303209
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOEMAX HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	2245 SPRINGHILL AVE
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27603-7729
Country	:	US
Telephone Number	:	919-771-8172
Fax Number	:	919-747-9138

Provider Business Practice Location Address
First Line	:	2245 SPRINGHILL AVE
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27603-7729
Country	:	US
Telephone Number	:	919-771-8172
Fax Number	:	919-747-9138

Authorized Official
Title or Position	:	CEO
Name	:	JONATHAN SUNDAY ONYENEKWE
Credential	:
Telephone Number	:	919-771-8172

Provider Enumeration Date	:	01/07/2016
Last Update Date	:	10/18/2019

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