Provider Demographics
NPI:1851578140
Name:CJ HEALTHCARE INC.
Entity Type:Organization
Organization Name:CJ HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOSSY
Authorized Official - Middle Name:
Authorized Official - Last Name:ESEK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-437-7706
Mailing Address - Street 1:738 TURTLE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-5257
Mailing Address - Country:US
Mailing Address - Phone:281-437-7706
Mailing Address - Fax:281-437-9706
Practice Address - Street 1:738 TURTLE CREEK DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-5257
Practice Address - Country:US
Practice Address - Phone:281-437-7706
Practice Address - Fax:281-437-9706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-29
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011419251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX011419Medicare PIN