Provider Demographics
NPI:1851071815
Name:JADE AT-HOME HEALTH
Entity Type:Organization
Organization Name:JADE AT-HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAU-TING
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-533-0541
Mailing Address - Street 1:333 GELLERT BLVD STE 218
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-2660
Mailing Address - Country:US
Mailing Address - Phone:628-219-9238
Mailing Address - Fax:
Practice Address - Street 1:333 GELLERT BLVD STE 218
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-2660
Practice Address - Country:US
Practice Address - Phone:628-219-9238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health