Provider Demographics
NPI:1922283977
Name:J&R VAUGHN ENTERPRISES, INC
Entity Type:Organization
Organization Name:J&R VAUGHN ENTERPRISES, INC
Other - Org Name:COMFORT KEEPERS 304 & 425
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:W
Authorized Official - Last Name:VAUGHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-684-7080
Mailing Address - Street 1:3355 CHERRY RIDGE ST STE 102
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-4818
Mailing Address - Country:US
Mailing Address - Phone:210-684-7080
Mailing Address - Fax:210-684-7078
Practice Address - Street 1:3355 CHERRY RIDGE ST STE 102
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-4818
Practice Address - Country:US
Practice Address - Phone:210-684-7080
Practice Address - Fax:210-684-7078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health