Provider Demographics
NPI:1780881805
Name:JIWEALTH HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:JIWEALTH HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CALLISTA
Authorized Official - Middle Name:U
Authorized Official - Last Name:JIWUAKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-236-2446
Mailing Address - Street 1:1303 PARKER BLUFF LN
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-6639
Mailing Address - Country:US
Mailing Address - Phone:281-236-2446
Mailing Address - Fax:832-535-3776
Practice Address - Street 1:1303 PARKER BLUFF LN
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-6639
Practice Address - Country:US
Practice Address - Phone:281-236-2446
Practice Address - Fax:832-535-3776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011366251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health