Provider Demographics
NPI:1699081513
Name:JST HEALTHCARE SERVICES,INC
Entity type:Organization
Organization Name:JST HEALTHCARE SERVICES,INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:ORIABURE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-556-5858
Mailing Address - Street 1:321 ELMWOOD DR
Mailing Address - Street 2:N/A
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-3327
Mailing Address - Country:US
Mailing Address - Phone:469-556-5858
Mailing Address - Fax:972-240-2843
Practice Address - Street 1:321 ELMWOOD DR
Practice Address - Street 2:N/A
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-3327
Practice Address - Country:US
Practice Address - Phone:469-556-5858
Practice Address - Fax:972-240-2843
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NONE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health