MEDICARE: JASCAM, 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	009005	TX

General Provider Information

NPI Number	:	1588762926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JASCAM, INC.

Provider Business Mailing Address
First Line	:	PO BOX 711126
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77271-1126
Country	:	US
Telephone Number	:	713-771-1137
Fax Number	:

Provider Business Practice Location Address
First Line	:	7731 CLARIDGE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-1816
Country	:	US
Telephone Number	:	713-771-3512
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS OWNER
Name	:	MEREDITH VILLAFANA
Credential	:
Telephone Number	:	713-771-3512

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	08/22/2020

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