Jannic Health Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

JANNIC HEALTH SERVICES, LLC

Practice address

26970 Hayward Blvd Apt 206
Hayward, CA 94542-2088

Phone

(510) 660-0488

Fax

(510) 660-0487

NPI assigned

Apr 9, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Jonn Mahatma D'Martin

Title

Founder/Ceo

Phone

(925) 249-8410

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1366061301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26970 HAYWARD BLVD APT 206",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945422088",
            "telephone_number": "510-660-0488",
            "fax_number": "510-660-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26970 HAYWARD BLVD APT 206",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945422088",
            "telephone_number": "510-660-0488",
            "fax_number": "510-660-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANNIC HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-09",
        "last_updated": "2021-10-06",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "D'MARTIN",
        "authorized_official_first_name": "JONN",
        "authorized_official_middle_name": "MAHATMA",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "925-249-8410",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Hayward, CA
• Providers in Hayward, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.