Provider Demographics
NPI:1891158051
Name:JADA HOME HEALTH LLC
Entity Type:Organization
Organization Name:JADA HOME HEALTH LLC
Other - Org Name:ISABEL TERESA RODRIGUEZ DBA JADA HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ISABEL
Authorized Official - Middle Name:TERESA
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:958-404-7466
Mailing Address - Street 1:222 N EXPRESSWAY 77/83 SUITE #163
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521
Mailing Address - Country:US
Mailing Address - Phone:956-404-7466
Mailing Address - Fax:
Practice Address - Street 1:401 WINNIPEG AVE
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-9449
Practice Address - Country:US
Practice Address - Phone:956-404-7466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-04
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No305R00000XManaged Care OrganizationsPreferred Provider Organization