MEDICARE: JKPJJ HEALTHCARE SYSTEMS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1275863052
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JKPJJ HEALTHCARE SYSTEMS, INC.

Provider Business Mailing Address
First Line	:	PO BOX 832
Second Line	:
City	:	ROBSTOWN
State	:	TX
Zip	:	78380-0832
Country	:	US
Telephone Number	:	361-387-6965
Fax Number	:	361-387-3791

Provider Business Practice Location Address
First Line	:	518 E MAIN AVE
Second Line	:	SUITE A
City	:	ROBSTOWN
State	:	TX
Zip	:	78380-3356
Country	:	US
Telephone Number	:	361-387-6965
Fax Number	:	361-387-3791

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	MS. PATRICIA S SAENZ
Credential	:
Telephone Number	:	361-387-6965

Provider Enumeration Date	:	12/30/2009
Last Update Date	:	12/30/2009

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