Provider Demographics
NPI:1568465052
Name:J&J HOME CARE, INC.
Entity Type:Organization
Organization Name:J&J HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:M
Authorized Official - Last Name:MUNOZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:575-746-2892
Mailing Address - Street 1:PO BOX 184
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:NM
Mailing Address - Zip Code:88211-0184
Mailing Address - Country:US
Mailing Address - Phone:575-746-2892
Mailing Address - Fax:
Practice Address - Street 1:1301 W GRAND AVE
Practice Address - Street 2:
Practice Address - City:ARTESIA
Practice Address - State:NM
Practice Address - Zip Code:88210-1729
Practice Address - Country:US
Practice Address - Phone:575-746-2892
Practice Address - Fax:575-746-3102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-27
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM6482A1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM68095Medicaid
NMN326OtherBCBS
NMM1796Medicaid
NM0001000Medicaid
NMD4045Medicaid
NMN2595Medicaid
NM57918OtherPRESBYTERIAN
NMN2595Medicaid