Provider Demographics
NPI:1982247201
Name:JS CLARK HOLDINGS LLC
Entity Type:Organization
Organization Name:JS CLARK HOLDINGS LLC
Other - Org Name:RIGHT AT HOME HILL COUNTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-315-3131
Mailing Address - Street 1:451 GUADALUPE ST STE 204
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-5164
Mailing Address - Country:US
Mailing Address - Phone:830-315-3131
Mailing Address - Fax:
Practice Address - Street 1:451 GUADALUPE ST STE 204
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-5164
Practice Address - Country:US
Practice Address - Phone:830-315-3131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-18
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care