Provider Demographics
NPI:1760667414
Name:J & J HOME HEALTH AGENCY INC
Entity Type:Organization
Organization Name:J & J HOME HEALTH AGENCY INC
Other - Org Name:J & J HOME HEALTH AGENCY
Other - Org Type:Other Name
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:BENJAMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-544-5766
Mailing Address - Street 1:2716 COUNTY LINE RD
Mailing Address - Street 2:804 A
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-1950
Mailing Address - Country:US
Mailing Address - Phone:817-800-5630
Mailing Address - Fax:817-447-9958
Practice Address - Street 1:1301 E LOS EBANOS BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-8634
Practice Address - Country:US
Practice Address - Phone:956-544-5766
Practice Address - Fax:956-504-9680
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:J & J HOME HEALTH AGENCY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-31
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX006536251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health