Provider Demographics
NPI:1326496076
Name:J&L GLOBAL HEALTH SOURCE INC
Entity Type:Organization
Organization Name:J&L GLOBAL HEALTH SOURCE INC
Other - Org Name:1ST AMERICAN HEALTH SOURCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOACHIM
Authorized Official - Middle Name:
Authorized Official - Last Name:ANIGBOGU
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:713-988-2407
Mailing Address - Street 1:8700 COMMERCE PARK DR SUITE 228B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036
Mailing Address - Country:US
Mailing Address - Phone:713-988-2407
Mailing Address - Fax:713-988-6247
Practice Address - Street 1:8700 COMMERCE PARK DR
Practice Address - Street 2:SUITE #228B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7497
Practice Address - Country:US
Practice Address - Phone:713-988-2407
Practice Address - Fax:713-988-6247
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:J &L GLOBAL HEALTH SOURCE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-06-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health