Provider Demographics
NPI:1578125951
Name:JOL HOME HEALTH SAN ANTONIO, LLC
Entity Type:Organization
Organization Name:JOL HOME HEALTH SAN ANTONIO, LLC
Other - Org Name:JOL HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:FILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-244-7752
Mailing Address - Street 1:800 CRYSTAL FALLS PKWY UNIT 1
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-3667
Mailing Address - Country:US
Mailing Address - Phone:512-786-4198
Mailing Address - Fax:512-597-0883
Practice Address - Street 1:800 CRYSTAL FALLS PKWY UNIT 1
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-3667
Practice Address - Country:US
Practice Address - Phone:512-786-4198
Practice Address - Fax:512-597-0883
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOL HEALTHCARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-05
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health