MEDICARE: J AND S HOME HEALTH SERVICES, INC

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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1023374782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J AND S HOME HEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	2525 E COLORADO BLVD STE 108
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-3771
Country	:	US
Telephone Number	:	626-744-7724
Fax Number	:	626-744-7718

Provider Business Practice Location Address
First Line	:	2525 E COLORADO BLVD STE 108
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-3771
Country	:	US
Telephone Number	:	626-744-7724
Fax Number	:	626-744-7718

Authorized Official
Title or Position	:	CEO
Name	:	ANTONIO A GARCIA
Credential	:
Telephone Number	:	626-744-7724

Provider Enumeration Date	:	04/07/2012
Last Update Date	:	04/25/2019

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