Provider Demographics
NPI:1306640073
Name:JJ'S HEALTH CARE AGENCY
Entity type:Organization
Organization Name:JJ'S HEALTH CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LOWEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-442-2714
Mailing Address - Street 1:6705 OAK GROOVE PARKWAY N
Mailing Address - Street 2:1200
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55445-5544
Mailing Address - Country:US
Mailing Address - Phone:651-755-8289
Mailing Address - Fax:845-478-8121
Practice Address - Street 1:6705 OAK GROOVE PARKWAY N
Practice Address - Street 2:1200
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55445-5544
Practice Address - Country:US
Practice Address - Phone:651-755-8289
Practice Address - Fax:845-478-8121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health