MEDICARE: JM HEALTH CARE COMPANY LLC

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	251E00000X	Home Health Agency	008837	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568418267
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JM HEALTH CARE COMPANY LLC

Provider Business Mailing Address
First Line	:	2904 N 4TH ST STE 103
Second Line	:
City	:	LONGVIEW
State	:	TX
Zip	:	75605-5129
Country	:	US
Telephone Number	:	903-757-7100
Fax Number	:	903-757-7105

Provider Business Practice Location Address
First Line	:	2904 N 4TH ST STE 103
Second Line	:
City	:	LONGVIEW
State	:	TX
Zip	:	75605-5129
Country	:	US
Telephone Number	:	903-757-7100
Fax Number	:	903-757-7105

Authorized Official
Title or Position	:	OWNER
Name	:	JUDITH L MCWILLIAMS
Credential	:	RN, WCC, CWS
Telephone Number	:	903-757-7100

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	02/22/2012

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Directions to “JM HEALTH CARE COMPANY LLC ” Practice Location

Language	Start Address	Practice Location

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