Provider Demographics
NPI:1609814045
Name:JAIMEL HEALTH CARE SERVICES LLC
Entity Type:Organization
Organization Name:JAIMEL HEALTH CARE SERVICES LLC
Other - Org Name:JAIMEL HEALTH CARE SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATEOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:I
Authorized Official - Last Name:DIALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-541-3877
Mailing Address - Street 1:10101 HARWIN DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-1740
Mailing Address - Country:US
Mailing Address - Phone:281-277-7827
Mailing Address - Fax:713-541-3877
Practice Address - Street 1:12211 FONDREN RD
Practice Address - Street 2:APT. 807
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-4052
Practice Address - Country:US
Practice Address - Phone:713-728-0500
Practice Address - Fax:713-728-0501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010498251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX010498Medicare ID - Type Unspecified