MEDICARE: J & J HOME CARE AND TRANSPORTATION 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1952971210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J & J HOME CARE AND TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	2240 W WOOLBRIGHT RD STE 403
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-6367
Country	:	US
Telephone Number	:	561-914-4098
Fax Number	:

Provider Business Practice Location Address
First Line	:	2240 W WOOLBRIGHT RD STE 403
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-6367
Country	:	US
Telephone Number	:	561-914-4098
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	YOLANDA JOHNSON
Credential	:
Telephone Number	:	561-914-4098

Provider Enumeration Date	:	06/29/2021
Last Update Date	:	06/29/2021

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