MEDICARE: J&S HEALTHCARE NETWORK, 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	003393	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	:	1619923737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J&S HEALTHCARE NETWORK, INC.

Provider Business Mailing Address
First Line	:	5870 HIGHWAY 6 N STE 208
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-1850
Country	:	US
Telephone Number	:	713-783-8049
Fax Number	:	713-783-6941

Provider Business Practice Location Address
First Line	:	5870 HIGHWAY 6 N STE 208
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-1850
Country	:	US
Telephone Number	:	713-783-8049
Fax Number	:	713-783-6941

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	SUSANA MARIBEL BARNEOND-KHALILI
Credential	:
Telephone Number	:	713-783-8049

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	07/18/2023

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