Provider Demographics
NPI:1285096370
Name:JKK&J ENTERPRISES, INC.
Entity type:Organization
Organization Name:JKK&J ENTERPRISES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KERRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPANILE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-895-4200
Mailing Address - Street 1:425 22ND AVE N
Mailing Address - Street 2:SUITE B
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33704-4345
Mailing Address - Country:US
Mailing Address - Phone:727-895-4200
Mailing Address - Fax:727-683-9929
Practice Address - Street 1:425 22ND AVE N
Practice Address - Street 2:SUITE B
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33704-4345
Practice Address - Country:US
Practice Address - Phone:727-895-4200
Practice Address - Fax:727-683-9929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-28
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299994460251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health