Provider Demographics
NPI:1770025728
Name:JC HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:JC HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GRISELDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-971-5588
Mailing Address - Street 1:14333 MEMORIAL DR
Mailing Address - Street 2:45
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-6743
Mailing Address - Country:US
Mailing Address - Phone:832-971-5588
Mailing Address - Fax:
Practice Address - Street 1:14333 MEMORIAL DR
Practice Address - Street 2:45
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-6743
Practice Address - Country:US
Practice Address - Phone:832-971-5588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-08
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX015924251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health