Provider Demographics
NPI:1417431255
Name:JC HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:JC HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VELMA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUNTER-MICKENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-829-7211
Mailing Address - Street 1:21110 BROOKROCK CIR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-3899
Mailing Address - Country:US
Mailing Address - Phone:281-829-7211
Mailing Address - Fax:
Practice Address - Street 1:21110 BROOKROCK CIRCLE
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449
Practice Address - Country:US
Practice Address - Phone:281-829-7211
Practice Address - Fax:281-717-4050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-18
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care