Provider Demographics
NPI:1962564955
Name:JPS HEALTH CARE INC.
Entity type:Organization
Organization Name:JPS HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LORIN
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:CROCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-535-2868
Mailing Address - Street 1:260 STRAYER ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15906-2037
Mailing Address - Country:US
Mailing Address - Phone:814-535-2868
Mailing Address - Fax:
Practice Address - Street 1:260 STRAYER ST
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15906-2037
Practice Address - Country:US
Practice Address - Phone:814-535-2868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA3000006372332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0466400001Medicare NSC