Provider Demographics
NPI:1881974103
Name:JOVIC HOMECARE SYSTEM, INC.
Entity type:Organization
Organization Name:JOVIC HOMECARE SYSTEM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:NNAMDI
Authorized Official - Last Name:PAMUGO
Authorized Official - Suffix:
Authorized Official - Credentials:DVM; MS
Authorized Official - Phone:713-496-1159
Mailing Address - Street 1:4219 MAURICE WAY
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-5252
Mailing Address - Country:US
Mailing Address - Phone:713-496-1159
Mailing Address - Fax:713-496-1160
Practice Address - Street 1:10103 FONDREN RD STE 420
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-4668
Practice Address - Country:US
Practice Address - Phone:713-496-1159
Practice Address - Fax:713-496-1160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric