MEDICARE: JUPITER CARE 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	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1407513450
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUPITER CARE INC

Provider Business Mailing Address
First Line	:	12321 MIDDLEBROOK RD
Second Line	:
City	:	GERMANTOWN
State	:	MD
Zip	:	20874-1591
Country	:	US
Telephone Number	:	301-741-3814
Fax Number	:

Provider Business Practice Location Address
First Line	:	12321 MIDDLEBROOK RD
Second Line	:
City	:	GERMANTOWN
State	:	MD
Zip	:	20874-1591
Country	:	US
Telephone Number	:	301-741-3814
Fax Number	:

Authorized Official
Title or Position	:	COMPLIANCE DIRECTOR
Name	:	MS. CHRISTINE DAVID
Credential	:
Telephone Number	:	301-741-3814

Provider Enumeration Date	:	11/24/2021
Last Update Date	:	11/24/2021

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Directions to “JUPITER CARE INC ” Practice Location

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