Healthcare Provider Details
I. General information
NPI: 1285782623
Provider Name (Legal Business Name): JAMAY ENTERPRISES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/08/2007
Last Update Date: 06/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8008 BEECHNUT ST
HOUSTON TX
77036-6848
US
IV. Provider business mailing address
8008 BEECHNUT ST
HOUSTON TX
77036-6848
US
V. Phone/Fax
- Phone: 713-777-6610
- Fax: 713-995-4039
- Phone: 713-777-6610
- Fax: 713-995-4039
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | 009795 |
| License Number State | TX |
VIII. Authorized Official
Name: MS.
LORNA
BENT
Title or Position: ADMINISTRATOR
Credential: R.N.
Phone: 713-777-6610