Provider Demographics
NPI:1134128648
Name:JCH INC
Entity Type:Organization
Organization Name:JCH INC
Other - Org Name:HARBOR HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXEC ADMIN ASST
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:K
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-730-2046
Mailing Address - Street 1:P.O. BOX 12686
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77726-2686
Mailing Address - Country:US
Mailing Address - Phone:409-835-1670
Mailing Address - Fax:409-835-1672
Practice Address - Street 1:3130 STAGG DR
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-4501
Practice Address - Country:US
Practice Address - Phone:409-835-1670
Practice Address - Fax:888-700-8743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-18
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007977251E00000X
TX013859251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX007977OtherSTATE LICENSE NUMBER
TX013859OtherTXDADS
TX007977OtherSTATE LICENSE NUMBER