Provider Demographics
NPI:1023274966
Name:C & JHOME CARE SERVICES, INC.
Entity type:Organization
Organization Name:C & JHOME CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:POLADIAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:978-343-4443
Mailing Address - Street 1:76 SUMMER ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-5783
Mailing Address - Country:US
Mailing Address - Phone:978-343-4443
Mailing Address - Fax:978-343-2959
Practice Address - Street 1:76 SUMMER ST
Practice Address - Street 2:SUITE 300
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-5783
Practice Address - Country:US
Practice Address - Phone:978-343-4443
Practice Address - Fax:978-343-2959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health