Provider Demographics
NPI:1528849742
Name:JAECO STAFFING
Entity type:Organization
Organization Name:JAECO STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JANNITA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-212-9282
Mailing Address - Street 1:7309 SCHILLING CV E
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125-6500
Mailing Address - Country:US
Mailing Address - Phone:901-212-9282
Mailing Address - Fax:
Practice Address - Street 1:7309 SCHILLING CV E
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38125-6500
Practice Address - Country:US
Practice Address - Phone:901-212-9282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JAECO HOMEHEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care