Provider Demographics
NPI:1093431678
Name:JEANM INTEGRATED HEALTH BILLING SOURCE
Entity type:Organization
Organization Name:JEANM INTEGRATED HEALTH BILLING SOURCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCORVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-975-7934
Mailing Address - Street 1:16303 N BEND DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77073-5342
Mailing Address - Country:US
Mailing Address - Phone:832-779-2037
Mailing Address - Fax:
Practice Address - Street 1:16303 N BEND DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77073-5342
Practice Address - Country:US
Practice Address - Phone:832-779-2037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-17
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker