Provider Demographics
NPI:1316651169
Name:THOMPSON, JAMIL
Entity type:Individual
Prefix:
First Name:JAMIL
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19602-2411
Mailing Address - Country:US
Mailing Address - Phone:484-474-4004
Mailing Address - Fax:
Practice Address - Street 1:430 S 6TH ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19602-2411
Practice Address - Country:US
Practice Address - Phone:484-474-4004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No374U00000XNursing Service Related ProvidersHome Health Aide
No385H00000XRespite Care FacilityRespite Care
No251E00000XAgenciesHome Health
No372600000XNursing Service Related ProvidersAdult Companion