Organization Active NPI

Jam Healthcare Services

  • Home Health Agency
  • Kissimmee, FL
National Provider Identifier
1194102608
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
120446 Issued in FL
Legal business name
JAM HEALTHCARE SERVICES
Practice address
220 Genoa CT
Kissimmee, FL 34758-4325
Phone
(407) 431-5907
Fax
(407) 518-9881
NPI assigned
May 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Authorized official

Name
Ms. Juanita Martin, 120446
Title
Certified Nurse Assistant
Phone
(407) 431-5907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 120446 FL Primary

Addresses

Primary practice location

220 Genoa CT
Kissimmee, FL 34758-4325

Mailing address

PO Box 582404
Kissimmee, FL 34758-0030
Phone (407) 431-5907

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1194102608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 582404",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347580030",
            "telephone_number": "407-431-5907",
            "fax_number": "407-518-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 GENOA CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347584325",
            "telephone_number": "407-431-5907",
            "fax_number": "407-518-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAM HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "CERTIFIED NURSE ASSISTANT",
        "authorized_official_telephone_number": "407-431-5907",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "120446"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "120446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.