Provider Demographics
NPI:1346211984
Name:J.A.M. HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:J.A.M. HEALTH SERVICES INC.
Other - Org Name:VERITAS HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GLADYS
Authorized Official - Middle Name:
Authorized Official - Last Name:MYDLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-793-3200
Mailing Address - Street 1:1492 W COLORADO BLVD
Mailing Address - Street 2:SUITE E
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-1465
Mailing Address - Country:US
Mailing Address - Phone:626-793-3200
Mailing Address - Fax:626-793-3207
Practice Address - Street 1:1492 W COLORADO BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-1465
Practice Address - Country:US
Practice Address - Phone:626-793-3200
Practice Address - Fax:626-793-3207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-31
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA058249Medicare Oscar/Certification