Provider Demographics
NPI:1326071119
Name:JCARE HOME HEALTH AGENCY, LLC
Entity Type:Organization
Organization Name:JCARE HOME HEALTH AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PRITESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-264-2737
Mailing Address - Street 1:12100 FORD RD STE 115
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-7242
Mailing Address - Country:US
Mailing Address - Phone:972-264-2737
Mailing Address - Fax:972-692-8228
Practice Address - Street 1:12100 FORD RD STE 115
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-7242
Practice Address - Country:US
Practice Address - Phone:972-264-2737
Practice Address - Fax:972-692-8228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2020-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009321251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX673197Medicare Oscar/Certification