Provider Demographics
NPI:1821323783
Name:JEEVAN HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:JEEVAN HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KURIAKOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:VETTICHIRAYIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-458-2201
Mailing Address - Street 1:3620 N JOSEY LN STE 112
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-3151
Mailing Address - Country:US
Mailing Address - Phone:469-458-2201
Mailing Address - Fax:469-410-6172
Practice Address - Street 1:3620 N JOSEY LN STE 112
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-3151
Practice Address - Country:US
Practice Address - Phone:469-458-2201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-11
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health