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NPI Code Detail

MEDICARE: JUBILEE CARE @ HOME HEALTH CARE SERVICES LLC

MEDICARE: JUBILEE CARE @ HOME HEALTH CARE SERVICES 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
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1747984OTHERTXPTAN
2019377OTHERTXHCSSA LICENSE

General Provider Information

NPI Number : 1982160495
Entity Type Code : Organization
Provider Name (Legal Business Name) : JUBILEE CARE @ HOME HEALTH CARE SERVICES LLC
Provider Business Mailing Address
First Line : PO BOX 733707
Second Line :
City : DALLAS
State : TX
Zip : 75373-3707
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 JACKSON ST
Second Line :
City : RICHMOND
State : TX
Zip : 77469-3109
Country : US
Telephone Number : 877-245-1045
Fax Number :
Authorized Official
Title or Position : CFO
Name : JAMES DOUTHITT
Credential :
Telephone Number : 940-600-5140
Provider Enumeration Date : 02/20/2019
Last Update Date : 03/11/2026

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