Provider Demographics
NPI:1477838688
Name:JERUSEM HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:JERUSEM HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:OSEMWEGIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-715-4876
Mailing Address - Street 1:9525 ELLA LEE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-1252
Mailing Address - Country:US
Mailing Address - Phone:832-715-4876
Mailing Address - Fax:
Practice Address - Street 1:9525 ELLA LEE LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-1252
Practice Address - Country:US
Practice Address - Phone:832-715-4876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health