Provider Demographics
NPI:1760693014
Name:JJP DOCTOR'S CHOICE HOME HEALTH LLC
Entity Type:Organization
Organization Name:JJP DOCTOR'S CHOICE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:FISK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-574-0276
Mailing Address - Street 1:2685 N CORIA ST STE B1
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-8813
Mailing Address - Country:US
Mailing Address - Phone:956-574-0276
Mailing Address - Fax:956-574-0277
Practice Address - Street 1:2685 N CORIA ST STE B1
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-8813
Practice Address - Country:US
Practice Address - Phone:956-574-0276
Practice Address - Fax:956-574-0277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX453168251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX453168Medicare Oscar/Certification