Provider Demographics
NPI:1043401425
Name:SJC HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:SJC HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:BALBON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-492-9000
Mailing Address - Street 1:1834 SNAKE RIVER RD STE A&B
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-7752
Mailing Address - Country:US
Mailing Address - Phone:281-492-9000
Mailing Address - Fax:
Practice Address - Street 1:1834 SNAKE RIVER RD STE A&B
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-7752
Practice Address - Country:US
Practice Address - Phone:281-492-9000
Practice Address - Fax:281-492-9009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-09
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health