Provider Demographics
NPI:1780685065
Name:JONES & JONES HEALTHCARE LLC
Entity Type:Organization
Organization Name:JONES & JONES HEALTHCARE LLC
Other - Org Name:SOUTHWEST HOME HEALTHCARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:G
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-672-7800
Mailing Address - Street 1:402 CYPRESS ST
Mailing Address - Street 2:STE 601
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-5139
Mailing Address - Country:US
Mailing Address - Phone:325-672-7800
Mailing Address - Fax:325-672-7842
Practice Address - Street 1:402 CYPRESS ST
Practice Address - Street 2:STE 601
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-5139
Practice Address - Country:US
Practice Address - Phone:325-672-7842
Practice Address - Fax:325-672-7842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-09
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007789251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
458312Medicare ID - Type Unspecified