Provider Demographics
NPI:1346428059
Name:J & J HOME HEALTH AGENCY INC
Entity type:Organization
Organization Name:J & J HOME HEALTH AGENCY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ANCONA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-544-5766
Mailing Address - Street 1:2716 COUNTY LINE ROAD 804 A
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TN
Mailing Address - Zip Code:76028
Mailing Address - Country:US
Mailing Address - Phone:817-800-5630
Mailing Address - Fax:817-447-9958
Practice Address - Street 1:1301 E LOS EBANOS BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-8634
Practice Address - Country:US
Practice Address - Phone:956-544-5766
Practice Address - Fax:956-504-9680
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:J & J HOME HEALTH AGENCY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX006536251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health