Organization · Type 2 NPI

Shimone Antonya LLC

In Home Supportive Care Agency · Jackson, MI

NPI number 1023992104 Active

Practice location

6220 Mountie Way
Jackson, MI 49201-9410

Specialties and licenses

Taxonomy	Code	License
Meals Provider	174200000X	None listed
In Home Supportive Care Agency Primary	253Z00000X	None listed

In Home Supportive Care Agency: An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medicatio…

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About NPI 1023992104

Shimone Antonya LLC's National Provider Identifier is 1023992104, issued on Aug 2, 2025. The primary taxonomy on file is In Home Supportive Care Agency (253Z00000X), and the practice location is in Jackson, MI. The record was last updated on Aug 12, 2025.