MEDICARE: JP AND P HEALTHCARE AGENCY 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	251E00000X	Home Health Agency	013153	TX

General Provider Information

NPI Number	:	1649538695
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JP AND P HEALTHCARE AGENCY INC.

Provider Business Mailing Address
First Line	:	11551 FOREST CENTRAL DR STE 101
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-3913
Country	:	US
Telephone Number	:	214-404-1509
Fax Number	:	214-647-1866

Provider Business Practice Location Address
First Line	:	11551 FOREST CENTRAL DR STE 101
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-3913
Country	:	US
Telephone Number	:	214-404-1509
Fax Number	:	214-647-1866

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. JOY LFEYINWA FLETCHER
Credential	:
Telephone Number	:	214-772-6422

Provider Enumeration Date	:	04/27/2012
Last Update Date	:	10/29/2024

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