=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265500292
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JS CARING ARMS HOME HEALTH SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/30/2006
-----------------------------------------------------
Last Update Date | 06/06/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7457 HARWIN DR SUITE 118
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77036-2018
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-254-6134
-----------------------------------------------------
Fax | 713-270-5253
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7457 HARWIN DR STE 118
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77036-2022
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-254-6134
-----------------------------------------------------
Fax | 713-270-5253
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR/D.O.N
-----------------------------------------------------
Name | MS. FLORENCE KACHISICHO ANYAFULU
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 713-254-6134
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 010878
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------