Provider Demographics
NPI:1962913913
Name:JUSTFORYOURTIMING HOMECARE
Entity type:Organization
Organization Name:JUSTFORYOURTIMING HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:264-745-6890
Mailing Address - Street 1:4546 TAMPA ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19120-4614
Mailing Address - Country:US
Mailing Address - Phone:267-475-6890
Mailing Address - Fax:
Practice Address - Street 1:4546 TAMPA ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19120-4614
Practice Address - Country:US
Practice Address - Phone:267-475-6890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-17
Last Update Date:2017-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA30563601374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA37-1737376OtherHOMECARE
PA=========8OtherJUSTFORYOURTIMING HOMECARE