Provider Demographics
NPI:1578978763
Name:JCP ENTERPRISES, LLC
Entity Type:Organization
Organization Name:JCP ENTERPRISES, LLC
Other - Org Name:OPEN HEARTS HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:JEFF
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-271-3955
Mailing Address - Street 1:PO BOX 574
Mailing Address - Street 2:
Mailing Address - City:WHITESBORO
Mailing Address - State:TX
Mailing Address - Zip Code:76273-0574
Mailing Address - Country:US
Mailing Address - Phone:903-271-3955
Mailing Address - Fax:888-257-0684
Practice Address - Street 1:613 N UNION ST
Practice Address - Street 2:
Practice Address - City:WHITESBORO
Practice Address - State:TX
Practice Address - Zip Code:76273-1006
Practice Address - Country:US
Practice Address - Phone:903-271-3955
Practice Address - Fax:888-257-0684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-25
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health