Provider Demographics
NPI:1073345658
Name:JD HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:JD HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-800-8126
Mailing Address - Street 1:1300 GREENWOOD AVE UNIT 113
Mailing Address - Street 2:
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-3295
Mailing Address - Country:US
Mailing Address - Phone:267-800-8126
Mailing Address - Fax:
Practice Address - Street 1:175 CABOT ST STE B10
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01854-3635
Practice Address - Country:US
Practice Address - Phone:267-800-8126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health