Provider Demographics
NPI:1679227102
Name:J&J GROUP HOME INC
Entity Type:Organization
Organization Name:J&J GROUP HOME INC
Other - Org Name:FECILITY
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOEBUNDUS
Authorized Official - Middle Name:O
Authorized Official - Last Name:ANYAKWO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:806-507-0098
Mailing Address - Street 1:9234 BARONSMEDE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-6241
Mailing Address - Country:US
Mailing Address - Phone:806-507-0098
Mailing Address - Fax:
Practice Address - Street 1:9234 BARONSMEDE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-6241
Practice Address - Country:US
Practice Address - Phone:806-507-0098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-03
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)