MEDICARE: JEBY HEALTH CARE 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	009291	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609940410
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEBY HEALTH CARE SERVICES,INC

Provider Business Mailing Address
First Line	:	614 W MAIN ST STE D101
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-3771
Country	:	US
Telephone Number	:	281-332-6569
Fax Number	:	281-332-1076

Provider Business Practice Location Address
First Line	:	614 W MAIN ST STE D101
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-3729
Country	:	US
Telephone Number	:	281-332-6569
Fax Number	:	281-332-1076

Authorized Official
Title or Position	:	ADIMINISRATOR
Name	:	MRS. EBERE FELICIA AMAECHI-AKUECHIAMA
Credential	:	RN
Telephone Number	:	281-332-6569

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	06/11/2024

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