MEDICARE: JC CARING 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	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1598507139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JC CARING SERVICES LLC

Provider Business Mailing Address
First Line	:	5373 ASHLEY CT
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30338-7001
Country	:	US
Telephone Number	:	561-537-9867
Fax Number	:

Provider Business Practice Location Address
First Line	:	5373 ASHLEY CT
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30338-7001
Country	:	US
Telephone Number	:	561-537-9867
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TENESHA GILES
Credential	:
Telephone Number	:	561-537-9867

Provider Enumeration Date	:	06/12/2024
Last Update Date	:	06/12/2024

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