Provider Demographics
NPI:1871028811
Name:JOYFUL HOMES IV LLC
Entity Type:Organization
Organization Name:JOYFUL HOMES IV LLC
Other - Org Name:JOYFUL HOMES IV
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHICHI
Authorized Official - Middle Name:
Authorized Official - Last Name:UGWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-995-9995
Mailing Address - Street 1:9239 MCAFEE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77031-1105
Mailing Address - Country:US
Mailing Address - Phone:832-868-5670
Mailing Address - Fax:
Practice Address - Street 1:9239 MCAFEE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77031-1105
Practice Address - Country:US
Practice Address - Phone:832-868-5670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-27
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility