Provider Demographics
NPI:1164581914
Name:JMM HOME HEALTH INC
Entity Type:Organization
Organization Name:JMM HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GODWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:AKOBUNDU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-340-8108
Mailing Address - Street 1:12763 CAPRICORN ST
Mailing Address - Street 2:SUITE #600
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3980
Mailing Address - Country:US
Mailing Address - Phone:281-340-8108
Mailing Address - Fax:281-242-9301
Practice Address - Street 1:12763 CAPRICORN ST
Practice Address - Street 2:SUITE # 600
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3980
Practice Address - Country:US
Practice Address - Phone:281-340-8108
Practice Address - Fax:281-242-9301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-07
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010922251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX743109Medicare PIN