MEDICARE: JARRETT CLEWIS, 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

General Provider Information

NPI Number	:	1518820794
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JARRETT CLEWIS, LLC

Provider Business Mailing Address
First Line	:	4530 ECHO FALLS DR
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77345-1050
Country	:	US
Telephone Number	:	832-373-3161
Fax Number	:

Provider Business Practice Location Address
First Line	:	4530 ECHO FALLS DR
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77345-1050
Country	:	US
Telephone Number	:	832-373-3161
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JARRETT RAMOND CLEWIS
Credential	:
Telephone Number	:	832-373-3161

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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