Provider Demographics
NPI:1851639934
Name:JSW HOME HEALTH CARE ASSOCIATES, INC
Entity Type:Organization
Organization Name:JSW HOME HEALTH CARE ASSOCIATES, INC
Other - Org Name:SESEN ELDER CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:S
Authorized Official - Last Name:WAMBACH
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:650-425-6035
Mailing Address - Street 1:177 BOVET RD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-3116
Mailing Address - Country:US
Mailing Address - Phone:650-425-6035
Mailing Address - Fax:650-242-3007
Practice Address - Street 1:177 BOVET RD
Practice Address - Street 2:SUITE 600
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-3116
Practice Address - Country:US
Practice Address - Phone:650-425-6035
Practice Address - Fax:650-242-3007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-23
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care