Healthcare Provider Details

I. General information

NPI: 1891113072
Provider Name (Legal Business Name): JPR QUALITY HOME HEALTH CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2014
Last Update Date: 04/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16631 VANCE JACKSON #7116
SAN ANTONIO TX
78257-5018
US

IV. Provider business mailing address

16631 VANCE JACKSON #7116
SAN ANTONIO TX
78257-5018
US

V. Phone/Fax

Practice location:
  • Phone: 516-499-1227
  • Fax:
Mailing address:
  • Phone: 516-499-1227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: FELICITAS ONYENAGADA
Title or Position: PRESIDENT
Credential:
Phone: 516-499-1227