Provider Demographics
NPI:1699235606
Name:JOSHUA'S HOME HEALTH, LLC
Entity type:Organization
Organization Name:JOSHUA'S HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:BOSWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-403-8323
Mailing Address - Street 1:11880 SHILOH RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-1501
Mailing Address - Country:US
Mailing Address - Phone:469-916-9354
Mailing Address - Fax:469-916-9358
Practice Address - Street 1:11880 SHILOH RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-1501
Practice Address - Country:US
Practice Address - Phone:469-916-9354
Practice Address - Fax:469-916-9358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-25
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty