NPIMap

Organization Active NPI

Jannic Home Care LLC

  • In Home Supportive Care Agency
  • Phoenix, AZ
National Provider Identifier
1588447478
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
JANNIC HOME CARE LLC
Practice address
12610 N Cave Creek Road
Suite 113
Phoenix, AZ 85022-6515
Phone
(602) 699-4758
Fax
(602) 699-4869
NPI assigned
Aug 15, 2023
Last updated
Nov 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Mr. Jonn D'Martin
Title
Executive Director
Phone
(602) 699-4758

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU
Respite Care 385H00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

12610 N Cave Creek Road
Suite 113
Phoenix, AZ 85022-6515

Mailing address

12601 N Cave Creek Rd Ste 113
Phoenix, AZ 85022-6517
Phone (602) 699-4758

National Provider Directory

National Provider Directory
Tax ID family
Jannic Home Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12601 N Cave Creek Rd
Ste 113
Phoenix, AZ 85022
Phone (602) 699-4758

12610 N Cave CRK Rd
Ste 113
Phoenix, AZ 85022
Phone (602) 699-4758

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1588447478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 N CAVE CREEK RD STE 113",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226517",
            "telephone_number": "602-699-4758",
            "fax_number": "602-699-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12610 N CAVE CREEK ROAD",
            "address_2": "SUITE 113",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226515",
            "telephone_number": "602-699-4758",
            "fax_number": "602-699-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANNIC HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "D'MARTIN",
        "authorized_official_first_name": "JONN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-699-4758",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.