Provider Demographics
NPI:1194443044
Name:NJEM FAMILY BUSINESS
Entity type:Organization
Organization Name:NJEM FAMILY BUSINESS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MBANWI
Authorized Official - Middle Name:AMSTRONG
Authorized Official - Last Name:NJEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-302-4424
Mailing Address - Street 1:6391 DE ZAVALA RD STE 202
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2145
Mailing Address - Country:US
Mailing Address - Phone:225-302-4424
Mailing Address - Fax:
Practice Address - Street 1:6391 DE ZAVALA RD STE 202
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-2145
Practice Address - Country:US
Practice Address - Phone:210-375-3180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-17
Last Update Date:2023-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty