Provider Demographics
NPI:1962246991
Name:JSJ HOME HEALTH, INC.
Entity type:Organization
Organization Name:JSJ HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SULEIDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:786-444-1065
Mailing Address - Street 1:3111 S. VALLEY VIEW BLVD.
Mailing Address - Street 2:STE A 218
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-0020
Mailing Address - Country:US
Mailing Address - Phone:786-444-1065
Mailing Address - Fax:
Practice Address - Street 1:3111 S. VALLEY VIEW BLVD.
Practice Address - Street 2:STE A 218
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-0020
Practice Address - Country:US
Practice Address - Phone:786-333-2692
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health