Provider Demographics
NPI:1962647750
Name:JACQUELYN'S HEALTH CARE SERVICES, INC. JHCS
Entity Type:Organization
Organization Name:JACQUELYN'S HEALTH CARE SERVICES, INC. JHCS
Other - Org Name:JACQUELYN'S ADULT DAYCARE, INC,
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXCUETIVE DIRECTOR/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:HUDSON-HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:504-236-2603
Mailing Address - Street 1:680 GROVEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-7916
Mailing Address - Country:US
Mailing Address - Phone:504-236-2603
Mailing Address - Fax:504-433-4851
Practice Address - Street 1:680 GROVEWOOD DR
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-7916
Practice Address - Country:US
Practice Address - Phone:504-236-2603
Practice Address - Fax:504-433-4851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No251V00000XAgenciesVoluntary or Charitable