Provider Demographics
NPI:1447457510
Name:J & L HOME HEALTH SERVICES INC.
Entity type:Organization
Organization Name:J & L HOME HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROSELYN
Authorized Official - Middle Name:TALAO
Authorized Official - Last Name:ROSARIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-255-3191
Mailing Address - Street 1:2161 COLORADO BLVD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90041-1254
Mailing Address - Country:US
Mailing Address - Phone:323-255-3191
Mailing Address - Fax:323-255-5361
Practice Address - Street 1:2161 COLORADO BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90041-1254
Practice Address - Country:US
Practice Address - Phone:323-255-3191
Practice Address - Fax:323-255-5361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-30
Last Update Date:2009-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA059069Medicare Oscar/Certification