Provider Demographics
NPI:1194505438
Name:JOY HOME HEALTH LLC
Entity type:Organization
Organization Name:JOY HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-690-7510
Mailing Address - Street 1:57 CASTLE ROCK PARK ROAD
Mailing Address - Street 2:
Mailing Address - City:QUEMADO
Mailing Address - State:NM
Mailing Address - Zip Code:87829
Mailing Address - Country:US
Mailing Address - Phone:808-690-7510
Mailing Address - Fax:
Practice Address - Street 1:57 CASTLE ROCK PARK ROAD
Practice Address - Street 2:
Practice Address - City:QUEMADO
Practice Address - State:NM
Practice Address - Zip Code:87829
Practice Address - Country:US
Practice Address - Phone:808-690-7510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health