Provider Demographics
NPI:1447029533
Name:JANNAT CARE SERVICE L L C
Entity type:Organization
Organization Name:JANNAT CARE SERVICE L L C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SODRUL
Authorized Official - Middle Name:
Authorized Official - Last Name:ISLAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-455-8280
Mailing Address - Street 1:4170 STEPHANIE DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-5041
Mailing Address - Country:US
Mailing Address - Phone:313-455-8280
Mailing Address - Fax:
Practice Address - Street 1:4170 STEPHANIE DR
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-5041
Practice Address - Country:US
Practice Address - Phone:313-455-8280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health