MEDICARE: JEEM ENTERPRISES INC

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	299994640	FL

General Provider Information

NPI Number	:	1356850614
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEEM ENTERPRISES INC

Provider Business Mailing Address
First Line	:	34072 US HIGHWAY 19 N.
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34684
Country	:	US
Telephone Number	:	727-205-0022
Fax Number	:	727-205-0002

Provider Business Practice Location Address
First Line	:	34072 US HIGHWAY 19 N
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-2644
Country	:	US
Telephone Number	:	727-205-0022
Fax Number	:	727-205-0002

Authorized Official
Title or Position	:	OWNER
Name	:	JOHN RODENBUSH
Credential	:
Telephone Number	:	727-205-0022

Provider Enumeration Date	:	09/29/2017
Last Update Date	:	07/21/2022

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Directions to “JEEM ENTERPRISES INC ” Practice Location

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