Provider Demographics
NPI:1609445550
Name:PJ HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:PJ HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PETROS
Authorized Official - Middle Name:
Authorized Official - Last Name:KATIVHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-705-9386
Mailing Address - Street 1:7011 S SAVANNAH RUN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-7106
Mailing Address - Country:US
Mailing Address - Phone:910-705-9386
Mailing Address - Fax:
Practice Address - Street 1:7011 S SAVANNAH RUN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-7106
Practice Address - Country:US
Practice Address - Phone:910-705-9386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-23
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care