Provider Demographics
NPI:1477803955
Name:JUBILEE HOME CARE SERVICES OF HOUSTON INC
Entity Type:Organization
Organization Name:JUBILEE HOME CARE SERVICES OF HOUSTON INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VASHON
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAFT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-368-5336
Mailing Address - Street 1:401 WHITNEY AVE
Mailing Address - Street 2:STE 210
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-2558
Mailing Address - Country:US
Mailing Address - Phone:504-368-5336
Mailing Address - Fax:504-368-5339
Practice Address - Street 1:9950 WESTPARK DR
Practice Address - Street 2:STE 638
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-5138
Practice Address - Country:US
Practice Address - Phone:504-368-5336
Practice Address - Fax:504-368-5339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-12
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care