Provider Demographics
NPI:1912366626
Name:JOYFUL CARE LLC
Entity Type:Organization
Organization Name:JOYFUL CARE LLC
Other - Org Name:JOYFUL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:KELVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-422-1767
Mailing Address - Street 1:1529 ROBIN LN
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75134-3046
Mailing Address - Country:US
Mailing Address - Phone:469-422-1767
Mailing Address - Fax:469-533-1919
Practice Address - Street 1:1529 ROBIN LN
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75134-3046
Practice Address - Country:US
Practice Address - Phone:469-422-1767
Practice Address - Fax:469-533-1919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-23
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX016975253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care