MEDICARE: J & A HEALTH CARE SYSTEMS, 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	314000000X	Skilled Nursing Facility	184010	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	09579	OTHER	MI	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780682096
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J & A HEALTH CARE SYSTEMS, INC.

Provider Business Mailing Address
First Line	:	2532 W CADILLAC DR
Second Line	:	PO BOX 579
City	:	FARWELL
State	:	MI
Zip	:	48622-9757
Country	:	US
Telephone Number	:	989-588-9928
Fax Number	:	989-588-3005

Provider Business Practice Location Address
First Line	:	2532 W CADILLAC DR
Second Line	:
City	:	FARWELL
State	:	MI
Zip	:	48622-9757
Country	:	US
Telephone Number	:	989-588-9928
Fax Number	:	989-588-3005

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. AARON WOODS
Credential	:
Telephone Number	:	989-588-9928

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	08/22/2020

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