Provider Demographics
NPI:1699577783
Name:JMMOURGIS LLC
Entity type:Organization
Organization Name:JMMOURGIS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JUNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MOURGIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-718-5541
Mailing Address - Street 1:11220 FORT ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-2120
Mailing Address - Country:US
Mailing Address - Phone:402-682-7326
Mailing Address - Fax:
Practice Address - Street 1:11220 FORT ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-2120
Practice Address - Country:US
Practice Address - Phone:402-682-7326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care