Provider Demographics
NPI:1043581168
Name:JEWEL'S HOME HEALTH CARE
Entity Type:Organization
Organization Name:JEWEL'S HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED NURSE AIDE
Authorized Official - Prefix:MS
Authorized Official - First Name:DRICKA
Authorized Official - Middle Name:DENICE
Authorized Official - Last Name:BRUMSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-382-9809
Mailing Address - Street 1:21631 BOGGY FORD RD APT B
Mailing Address - Street 2:
Mailing Address - City:LAGO VISTA
Mailing Address - State:TX
Mailing Address - Zip Code:78645-7605
Mailing Address - Country:US
Mailing Address - Phone:512-382-9809
Mailing Address - Fax:
Practice Address - Street 1:21631 BOGGY FORD RD APT B
Practice Address - Street 2:
Practice Address - City:LAGO VISTA
Practice Address - State:TX
Practice Address - Zip Code:78645-7605
Practice Address - Country:US
Practice Address - Phone:512-382-9809
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-20
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health