Provider Demographics
NPI:1508469669
Name:JOYFUL PROVIDER SERVICES LLC
Entity Type:Organization
Organization Name:JOYFUL PROVIDER SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNUNCIATTA
Authorized Official - Middle Name:N
Authorized Official - Last Name:KUME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-627-4358
Mailing Address - Street 1:2528 BUDDY OWENS AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-5464
Mailing Address - Country:US
Mailing Address - Phone:956-627-4358
Mailing Address - Fax:
Practice Address - Street 1:2528 BUDDY OWENS AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-5464
Practice Address - Country:US
Practice Address - Phone:956-627-4358
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-19
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care