MEDICARE: JAYS PARTY SUPPLIES

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	343800000X	Secured Medical Transport (VAN)

General Provider Information

NPI Number	:	1891642567
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAYS PARTY SUPPLIES

Provider Business Mailing Address
First Line	:	4711 RIDGEMAR CIR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77053-3720
Country	:	US
Telephone Number	:	832-455-4955
Fax Number	:

Provider Business Practice Location Address
First Line	:	4711 RIDGEMAR CIR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77053-3720
Country	:	US
Telephone Number	:	832-455-4955
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. JASMINE DANIELLE HOLMES
Credential	:
Telephone Number	:	832-455-4955

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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Directions to “JAYS PARTY SUPPLIES ” Practice Location

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