Provider Demographics
NPI:1609073337
Name:JNCC ALLEN ENTERPRISE
Entity Type:Organization
Organization Name:JNCC ALLEN ENTERPRISE
Other - Org Name:A NEW BEGINNING HOMES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-674-4373
Mailing Address - Street 1:PO BOX 111788
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77293-0788
Mailing Address - Country:US
Mailing Address - Phone:713-674-4373
Mailing Address - Fax:713-674-4378
Practice Address - Street 1:723 MAIN ST
Practice Address - Street 2:STE # 201
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-3311
Practice Address - Country:US
Practice Address - Phone:713-674-4373
Practice Address - Fax:713-674-4378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health