Provider Demographics
NPI:1093710154
Name:JMV ENTERPRISES INC
Entity Type:Organization
Organization Name:JMV ENTERPRISES INC
Other - Org Name:INTERIM HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXEC. VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MAREK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-751-9393
Mailing Address - Street 1:6701 SANGER AVE
Mailing Address - Street 2:STE 106
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-7737
Mailing Address - Country:US
Mailing Address - Phone:254-751-9393
Mailing Address - Fax:254-751-7441
Practice Address - Street 1:6701 SANGER AVE
Practice Address - Street 2:STE 106
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-7737
Practice Address - Country:US
Practice Address - Phone:254-751-9393
Practice Address - Fax:254-751-7441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX002628251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX677694Medicare ID - Type UnspecifiedMEDICARE NUMBER