Provider Demographics
NPI:1356692495
Name:J&J HOME HEALTH CARE INC
Entity type:Organization
Organization Name:J&J HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEONGSOON
Authorized Official - Middle Name:
Authorized Official - Last Name:UR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-838-1031
Mailing Address - Street 1:9135 FOLIAGE LN
Mailing Address - Street 2:
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-3401
Mailing Address - Country:US
Mailing Address - Phone:219-838-1031
Mailing Address - Fax:219-838-1031
Practice Address - Street 1:9135 FOLIAGE LN
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-3401
Practice Address - Country:US
Practice Address - Phone:219-838-1031
Practice Address - Fax:219-838-1031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-28
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health