Provider Demographics
NPI:1245392356
Name:JP HEALTHCARE SERVICES, INC
Entity Type:Organization
Organization Name:JP HEALTHCARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:IWUCHUKWU
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:713-459-7661
Mailing Address - Street 1:7826 HOLLOW BLUFF LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2532
Mailing Address - Country:US
Mailing Address - Phone:713-459-7661
Mailing Address - Fax:281-762-0035
Practice Address - Street 1:10103 FONDREN
Practice Address - Street 2:SUITE 480
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096
Practice Address - Country:US
Practice Address - Phone:713-459-7661
Practice Address - Fax:713-995-7553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010855251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX743147Medicare PIN