Provider Demographics
NPI:1265826424
Name:JY ENTERPRISES, INC.
Entity Type:Organization
Organization Name:JY ENTERPRISES, INC.
Other - Org Name:THREE MISSIONS HEALTH SERVICES AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:VELIA
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:915-240-6338
Mailing Address - Street 1:12708 ALAMEDA AVENUE
Mailing Address - Street 2:
Mailing Address - City:CLINT
Mailing Address - State:TX
Mailing Address - Zip Code:79836
Mailing Address - Country:US
Mailing Address - Phone:915-240-6338
Mailing Address - Fax:915-851-9207
Practice Address - Street 1:12708 ALAMEDA
Practice Address - Street 2:
Practice Address - City:CLINT
Practice Address - State:TX
Practice Address - Zip Code:79836
Practice Address - Country:US
Practice Address - Phone:915-240-6338
Practice Address - Fax:915-851-9207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-26
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health