Provider Demographics
NPI:1235968611
Name:JA APPROVED HOME CARE LLC
Entity type:Organization
Organization Name:JA APPROVED HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JUMMAI
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINRINMADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-215-4606
Mailing Address - Street 1:5290 HIDDEN VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30028-7024
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5290 HIDDEN VALLEY LN
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30028-7024
Practice Address - Country:US
Practice Address - Phone:401-215-4606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care