Jac Home Health Agency & DME Corp

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

JAC HOME HEALTH AGENCY & DME CORP

Practice address

17360 S Dixie Hwy
Palmetto Bay, FL 33157-4319

Phone

(786) 269-5612

NPI assigned

Jun 21, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Adria Cespedes

Title

Owner

Phone

(786) 269-5612

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1154815157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17360 S DIXIE HWY",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331574319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17360 S DIXIE HWY",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331574319",
            "telephone_number": "786-269-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAC HOME HEALTH AGENCY & DME CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "CESPEDES",
        "authorized_official_first_name": "ADRIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-269-5612"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Intercare Case Management Services Inc.
• Joseph Dubois Inzinna, M.D.
• Rakesh Iyer, DO
• Nicole Amparo Izquierdo
• J&R Implementation Services Inc
• Jac Pharmacy Corp
• Shanquan Jackson, B.A.
• Jane's Care Services Corp
• Jane's Care Services Corp
• Janice D Bacchus, LLC

• Home Health Agency in Palmetto Bay, FL
• Providers in Palmetto Bay, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.