Provider Demographics
NPI:1528242112
Name:J&J SPECIAL CARE INC.
Entity type:Organization
Organization Name:J&J SPECIAL CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JIMMY
Authorized Official - Middle Name:JOE
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:281-758-0431
Mailing Address - Street 1:27103 BRETON BRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-7553
Mailing Address - Country:US
Mailing Address - Phone:281-758-0431
Mailing Address - Fax:281-758-0434
Practice Address - Street 1:27103 BRETON BRIDGE CT
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-7553
Practice Address - Country:US
Practice Address - Phone:281-758-0431
Practice Address - Fax:281-758-0434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009355251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health