Provider Demographics
NPI:1598911786
Name:JEMART HEALTH CARE SERVICES INC
Entity Type:Organization
Organization Name:JEMART HEALTH CARE SERVICES INC
Other - Org Name:EXPRESS HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:EZEMA
Authorized Official - Suffix:
Authorized Official - Credentials:BSC
Authorized Official - Phone:972-283-7960
Mailing Address - Street 1:210 S MAIN STREET
Mailing Address - Street 2:STUITE 10
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75116
Mailing Address - Country:US
Mailing Address - Phone:972-283-7960
Mailing Address - Fax:
Practice Address - Street 1:210 S MAIN STREET
Practice Address - Street 2:STUITE 10
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116
Practice Address - Country:US
Practice Address - Phone:972-283-7960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-07
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001019154Medicaid
TX001019153Medicaid
TX00109155Medicaid