Provider Demographics
NPI:1851392088
Name:JHAMB ENTERPRISES, INC.
Entity Type:Organization
Organization Name:JHAMB ENTERPRISES, INC.
Other - Org Name:GATEWAY HOME MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:BOWLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-820-0505
Mailing Address - Street 1:PO BOX 39
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76097-0039
Mailing Address - Country:US
Mailing Address - Phone:817-820-0505
Mailing Address - Fax:817-820-0576
Practice Address - Street 1:1031 HORSE CREEK ROAD
Practice Address - Street 2:SUITE 1
Practice Address - City:CROWLEY
Practice Address - State:TX
Practice Address - Zip Code:76036-5761
Practice Address - Country:US
Practice Address - Phone:817-820-0505
Practice Address - Fax:817-820-0576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-10
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0095206332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX195765601Medicaid
TX195765602Medicaid
TX5336830003Medicare NSC