Provider Demographics
NPI:1790118404
Name:JLW HOME HEALTH, INC
Entity Type:Organization
Organization Name:JLW HOME HEALTH, INC
Other - Org Name:LITTLE MIRACLES HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:S
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-425-0606
Mailing Address - Street 1:720 E HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-9150
Mailing Address - Country:US
Mailing Address - Phone:956-425-0606
Mailing Address - Fax:956-425-0620
Practice Address - Street 1:720 E HARRISON AVE
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-9150
Practice Address - Country:US
Practice Address - Phone:956-425-0606
Practice Address - Fax:956-425-0620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-16
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X, 251E00000X, 251F00000X, 251G00000X, 251J00000X, 251V00000X, 253Z00000X, 385H00000X, 385HR2065X
TX015976251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251F00000XAgenciesHome Infusion
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No251V00000XAgenciesVoluntary or Charitable
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX330142602Medicaid
TX45D2171898OtherCLIA
TX015976OtherDEPARTMENT OF AGING & DISABILITY SERVICES
TX330142601Medicaid