Provider Demographics
NPI:1326805953
Name:J&H NURSING SERVICES, LLC
Entity Type:Organization
Organization Name:J&H NURSING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JERREL KELE
Authorized Official - Middle Name:BALLAN
Authorized Official - Last Name:MAGSANOC
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:253-740-3979
Mailing Address - Street 1:15410 SE 272ND ST UNIT 10
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98042-4244
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15410 SE 272ND ST UNIT 10
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98042-4244
Practice Address - Country:US
Practice Address - Phone:253-740-3979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1366001182Medicaid