Provider Demographics
NPI:1306646450
Name:JANNIC HOME CARE LLC
Entity type:Organization
Organization Name:JANNIC HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JONN
Authorized Official - Middle Name:
Authorized Official - Last Name:DMARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-699-4758
Mailing Address - Street 1:12601 N CAVE CREEK RD STE 113
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-6517
Mailing Address - Country:US
Mailing Address - Phone:602-699-4758
Mailing Address - Fax:602-699-4869
Practice Address - Street 1:12601 N CAVE CREEK RD STE 113
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-6517
Practice Address - Country:US
Practice Address - Phone:602-699-4758
Practice Address - Fax:602-699-4869
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JANNIC HOME CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health