Provider Demographics
NPI:1508317033
Name:JW HEALTHCARE INC.
Entity Type:Organization
Organization Name:JW HEALTHCARE INC.
Other - Org Name:GOLDEN STATE HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAVED
Authorized Official - Middle Name:
Authorized Official - Last Name:WAHAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-832-2224
Mailing Address - Street 1:324 E 11TH ST STE H3
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95376-4084
Mailing Address - Country:US
Mailing Address - Phone:209-832-2224
Mailing Address - Fax:
Practice Address - Street 1:324 E 11TH ST STE H3
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95376-4084
Practice Address - Country:US
Practice Address - Phone:209-832-2224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-19
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health