MEDICARE: JRO GREATER CARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	3747P1801X	Personal Care Attendant
2	385H00000X	Respite Care
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1376305367
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JRO GREATER CARE

Provider Business Mailing Address
First Line	:	4101 DAGGERBOARD DR
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23321-3350
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4101 DAGGERBOARD DR
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23321-3350
Country	:	US
Telephone Number	:	757-477-1466
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MONTOYA BRITT
Credential	:
Telephone Number	:	757-556-0554

Provider Enumeration Date	:	01/25/2024
Last Update Date	:	01/25/2024

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Directions to “JRO GREATER CARE ” Practice Location

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