Provider Demographics
NPI:1285437855
Name:JMB HOME CARE LLC
Entity type:Organization
Organization Name:JMB HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAYLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:737-294-2476
Mailing Address - Street 1:702 JUDY LN
Mailing Address - Street 2:
Mailing Address - City:COPPERAS COVE
Mailing Address - State:TX
Mailing Address - Zip Code:76522-3159
Mailing Address - Country:US
Mailing Address - Phone:254-218-3940
Mailing Address - Fax:
Practice Address - Street 1:702 JUDY LN
Practice Address - Street 2:
Practice Address - City:COPPERAS COVE
Practice Address - State:TX
Practice Address - Zip Code:76522-3159
Practice Address - Country:US
Practice Address - Phone:254-218-3940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-29
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care