Provider Demographics
NPI:1316813496
Name:JMA HOME CARE DIVISION LLC
Entity type:Organization
Organization Name:JMA HOME CARE DIVISION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIMISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-590-4236
Mailing Address - Street 1:349 E BLACKSTOCK RD STE B
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29301-3783
Mailing Address - Country:US
Mailing Address - Phone:864-590-4235
Mailing Address - Fax:
Practice Address - Street 1:349 E BLACKSTOCK RD STE B
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29301-3783
Practice Address - Country:US
Practice Address - Phone:864-590-4236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-15
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care