Provider Demographics
NPI:1831829266
Name:JAMBO HOME HEALTH, INC.
Entity type:Organization
Organization Name:JAMBO HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CFO/SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:NORRICES
Authorized Official - Middle Name:
Authorized Official - Last Name:TINDIMUBONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-227-3078
Mailing Address - Street 1:2323 W LINCOLN AVE STE 229A
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-5100
Mailing Address - Country:US
Mailing Address - Phone:714-227-3078
Mailing Address - Fax:714-227-3079
Practice Address - Street 1:2323 W LINCOLN AVE STE 229A
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-5100
Practice Address - Country:US
Practice Address - Phone:714-227-3078
Practice Address - Fax:714-227-3079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-17
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health