Provider Demographics
NPI:1588252696
Name:JSME, LLC
Entity type:Organization
Organization Name:JSME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAROS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-214-5599
Mailing Address - Street 1:1818 SHERIDAN ST STE 205
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-2113
Mailing Address - Country:US
Mailing Address - Phone:954-551-3200
Mailing Address - Fax:
Practice Address - Street 1:1780 NW 52ND AVE
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33313-7811
Practice Address - Country:US
Practice Address - Phone:954-551-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility