Provider Demographics
NPI:1063286367
Name:CJ HOMEMAKER COMPANION SERVICES LLC
Entity type:Organization
Organization Name:CJ HOMEMAKER COMPANION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARMEL MEZIER
Authorized Official - Prefix:
Authorized Official - First Name:CARMEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MEZIER
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:561-629-0664
Mailing Address - Street 1:1188 LAKE VICTORIA DR APT K
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-9340
Mailing Address - Country:US
Mailing Address - Phone:561-629-0664
Mailing Address - Fax:
Practice Address - Street 1:1188 LAKE VICTORIA DR APT K
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-9340
Practice Address - Country:US
Practice Address - Phone:561-629-0664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health