Provider Demographics
NPI:1063295459
Name:JEMCARE LLC
Entity type:Organization
Organization Name:JEMCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:WILSON
Authorized Official - Middle Name:
Authorized Official - Last Name:EKINDE
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:651-329-7272
Mailing Address - Street 1:7420 UNITY AVE N STE 310C
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-3162
Mailing Address - Country:US
Mailing Address - Phone:651-329-7272
Mailing Address - Fax:762-267-7311
Practice Address - Street 1:7420 UNITY AVE N STE 310C
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-3162
Practice Address - Country:US
Practice Address - Phone:651-329-7272
Practice Address - Fax:762-267-7318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-17
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health