Provider Demographics
NPI:1447018783
Name:JOYFUL LIVING CARE,LLC
Entity type:Organization
Organization Name:JOYFUL LIVING CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SISAY
Authorized Official - Middle Name:FENTAHUN
Authorized Official - Last Name:FETENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-505-0271
Mailing Address - Street 1:5413 HIGH JUMP DR
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-3439
Mailing Address - Country:US
Mailing Address - Phone:615-577-8404
Mailing Address - Fax:615-577-8404
Practice Address - Street 1:325 PLUS PARK BLVD STE 200A
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-1097
Practice Address - Country:US
Practice Address - Phone:240-505-0271
Practice Address - Fax:615-577-8404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care