# JINNAH LIFE CARE COMMUINTY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518497114
- **Authorized official:** MRS. KAMILLIA KASANDRA JEFFERIES (CEO)
- **Authorized official phone:** (239) 600-9191

## Contact information

- **Practice address:** 4231 TRUMAN DR, SEFFNER, FL 33584
- **Practice address phone:** (239) 600-9191
- **Practice address fax:** (813) 643-0150
- **Mailing address:** 4231 TRUMAN DR, SEFFNER, FL 33584-8354
- **Mailing address phone:** (239) 600-9191
- **Mailing address fax:** (813) 643-0150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 3104A0625X | Assisted Living Facility (Mental Illness) | — | NULL | — |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | — | NULL | — |
| 310500000X | Mental Illness Intermediate Care Facility | — | NULL | — |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | — |
| 311Z00000X | Custodial Care Facility | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | — |
| 315D00000X | Inpatient Hospice | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 06/15/2017
- **Last updated:** 07/21/2022