Provider Demographics
NPI:1215735394
Name:SJM MANAGEMENT SOLUTIONS LLC
Entity type:Organization
Organization Name:SJM MANAGEMENT SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:JUSTE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:516-673-3694
Mailing Address - Street 1:204 AIRPORT PLAZA BLVD STE 1118
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-3946
Mailing Address - Country:US
Mailing Address - Phone:516-673-3694
Mailing Address - Fax:631-532-8266
Practice Address - Street 1:54 CHESTNUT RD
Practice Address - Street 2:
Practice Address - City:AMITYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11701-1039
Practice Address - Country:US
Practice Address - Phone:516-673-3694
Practice Address - Fax:631-532-8266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No251E00000XAgenciesHome Health