Provider Demographics
NPI:1003707886
Name:J,. MAXWELL L.L.C.
Entity type:Organization
Organization Name:J,. MAXWELL L.L.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JEANA
Authorized Official - Middle Name:MARLENE
Authorized Official - Last Name:MAXWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:231-571-8759
Mailing Address - Street 1:PO BOX 344
Mailing Address - Street 2:
Mailing Address - City:HESPERIA
Mailing Address - State:MI
Mailing Address - Zip Code:49421-0344
Mailing Address - Country:US
Mailing Address - Phone:231-571-8759
Mailing Address - Fax:
Practice Address - Street 1:474 E MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:MI
Practice Address - Zip Code:49421-9168
Practice Address - Country:US
Practice Address - Phone:231-571-8759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-10
Last Update Date:2025-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care