Provider Demographics
NPI:1811212269
Name:JADRON LLC
Entity type:Organization
Organization Name:JADRON LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:WATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:361-727-2131
Mailing Address - Street 1:110 HWY 35 NORTH
Mailing Address - Street 2:STE. B
Mailing Address - City:ROCKPORT
Mailing Address - State:TX
Mailing Address - Zip Code:78381
Mailing Address - Country:US
Mailing Address - Phone:361-727-2131
Mailing Address - Fax:361-727-2179
Practice Address - Street 1:110 HWY 35 NORTH
Practice Address - Street 2:SUITE B
Practice Address - City:ROCKPORT
Practice Address - State:TX
Practice Address - Zip Code:78382-7838
Practice Address - Country:US
Practice Address - Phone:361-727-2131
Practice Address - Fax:361-727-2179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-29
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX013476251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health