Provider Demographics
NPI:1306690102
Name:JACITY'S CARING COMPANIONS
Entity type:Organization
Organization Name:JACITY'S CARING COMPANIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JACITY
Authorized Official - Middle Name:
Authorized Official - Last Name:RAY
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:330-488-4218
Mailing Address - Street 1:520 COLONY RD
Mailing Address - Street 2:
Mailing Address - City:CANAL FULTON
Mailing Address - State:OH
Mailing Address - Zip Code:44614-1229
Mailing Address - Country:US
Mailing Address - Phone:330-488-4218
Mailing Address - Fax:
Practice Address - Street 1:520 COLONY RD
Practice Address - Street 2:
Practice Address - City:CANAL FULTON
Practice Address - State:OH
Practice Address - Zip Code:44614-1229
Practice Address - Country:US
Practice Address - Phone:330-488-4218
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health