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NPI Code Detail

MEDICARE: JJT HEALTHCARE AGENCY

MEDICARE: JJT HEALTHCARE AGENCY
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
1251E00000XHome Health Agency
2251G00000XCommunity Based Hospice Care Agency
3251J00000XNursing Care Agency
4343900000XNon-emergency Medical Transport (VAN)
5385H00000XRespite Care
6253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1437966504
Entity Type Code : Organization
Provider Name (Legal Business Name) : JJT HEALTHCARE AGENCY
Provider Business Mailing Address
First Line : 4435 E CHANDLER BLVD
Second Line :
City : PHOENIX
State : AZ
Zip : 85048-7649
Country : US
Telephone Number : 240-661-1177
Fax Number : 240-661-1177
Provider Business Practice Location Address
First Line : 4435 E CHANDLER BLVD
Second Line :
City : PHOENIX
State : AZ
Zip : 85048-7649
Country : US
Telephone Number : 240-661-1177
Fax Number : 240-661-1177
Authorized Official
Title or Position : CEO
Name : JASMINE YOUNG
Credential :
Telephone Number : 240-661-1177
Provider Enumeration Date : 12/12/2024
Last Update Date : 03/03/2025

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Directions to “JJT HEALTHCARE AGENCY ” Practice Location

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