Provider Demographics
NPI:1972167625
Name:JS HOME HEALTH LLC
Entity Type:Organization
Organization Name:JS HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCQUARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-834-2677
Mailing Address - Street 1:PO BOX 3132
Mailing Address - Street 2:
Mailing Address - City:WEST MEMPHIS
Mailing Address - State:AR
Mailing Address - Zip Code:72303-3132
Mailing Address - Country:US
Mailing Address - Phone:870-629-5110
Mailing Address - Fax:870-629-5110
Practice Address - Street 1:310 MID CONTINENT PLZ STE 601
Practice Address - Street 2:
Practice Address - City:WEST MEMPHIS
Practice Address - State:AR
Practice Address - Zip Code:72301-1763
Practice Address - Country:US
Practice Address - Phone:901-834-2677
Practice Address - Fax:870-629-5110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-29
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health