Provider Demographics
NPI:1053057513
Name:JUMMYOLA CARE LLC
Entity type:Organization
Organization Name:JUMMYOLA CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:OLAJUMOKE
Authorized Official - Middle Name:
Authorized Official - Last Name:OLAGUNDOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-648-9146
Mailing Address - Street 1:3970 POST RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-9235
Mailing Address - Country:US
Mailing Address - Phone:401-648-9146
Mailing Address - Fax:401-735-1847
Practice Address - Street 1:3970 POST RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-9235
Practice Address - Country:US
Practice Address - Phone:401-648-9146
Practice Address - Fax:401-735-1847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-09
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No282J00000XHospitalsReligious Nonmedical Health Care Institution