Healthcare Provider Details

I. General information

NPI: 1740741081
Provider Name (Legal Business Name): JOL HOME HEALTH KYLE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2019
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 DACY LN STE 150
KYLE TX
78640-4195
US

IV. Provider business mailing address

2006 S BAGDAD RD STE 100
LEANDER TX
78641-3577
US

V. Phone/Fax

Practice location:
  • Phone: 512-786-4198
  • Fax: 512-597-0883
Mailing address:
  • Phone: 512-786-4198
  • Fax: 512-597-0883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. SARAH ELIZABETH FILES
Title or Position: PRESIDENT/CEO
Credential: MOT/OTR/L
Phone: 214-734-5327