Provider Demographics
NPI:1700886694
Name:JRJS HEALTHCARE OPERATIONS LLC
Entity Type:Organization
Organization Name:JRJS HEALTHCARE OPERATIONS LLC
Other - Org Name:HEALTH FORCE HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:LEGGETT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:361-582-0602
Mailing Address - Street 1:1501 N DE LEON ST
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-5902
Mailing Address - Country:US
Mailing Address - Phone:361-582-0602
Mailing Address - Fax:361-582-0509
Practice Address - Street 1:1501 N DE LEON ST
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-5902
Practice Address - Country:US
Practice Address - Phone:361-582-0602
Practice Address - Fax:361-582-0509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-21
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX005346251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX459392Medicare Oscar/Certification