Provider Demographics
NPI:1013501758
Name:JOMEL PALLIATIVE AND HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:JOMEL PALLIATIVE AND HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MICKENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-550-3626
Mailing Address - Street 1:9898 BISSONNET ST STE 160
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8032
Mailing Address - Country:US
Mailing Address - Phone:281-818-6362
Mailing Address - Fax:
Practice Address - Street 1:4002 HIGHLAND VALE CT
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:TX
Practice Address - Zip Code:77545-7022
Practice Address - Country:US
Practice Address - Phone:713-550-3626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-23
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based