MEDICARE: JAMBO HEALTH CARE SERVICES LLC

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
2	310400000X	Assisted Living Facility
3	3747P1801X	Personal Care Attendant	016763	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396175782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMBO HEALTH CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	2727 LBJ FWY STE 820
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75234-7478
Country	:	US
Telephone Number	:	214-643-2969
Fax Number	:	817-518-9320

Provider Business Practice Location Address
First Line	:	2727 LBJ FWY STE 820
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75234-7478
Country	:	US
Telephone Number	:	214-643-2969
Fax Number	:	817-518-9320

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. DENIS IRERI MWANGI
Credential	:
Telephone Number	:	214-643-2969

Provider Enumeration Date	:	11/20/2013
Last Update Date	:	02/07/2026

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Directions to “JAMBO HEALTH CARE SERVICES LLC ” Practice Location

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