Provider Demographics
NPI:1346543477
Name:JAY HOBBS FOUNDATION
Entity Type:Organization
Organization Name:JAY HOBBS FOUNDATION
Other - Org Name:GLENDA HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWENER
Authorized Official - Prefix:
Authorized Official - First Name:GLENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-360-0440
Mailing Address - Street 1:6811 WALNUT HILL LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-5324
Mailing Address - Country:US
Mailing Address - Phone:214-360-0440
Mailing Address - Fax:214-360-0330
Practice Address - Street 1:6811 WALNUT HILL LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-5324
Practice Address - Country:US
Practice Address - Phone:214-360-0440
Practice Address - Fax:214-360-0330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-12
Last Update Date:2010-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
310400000X
TX314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility