MEDICARE: JADRON 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	251E00000X	Home Health Agency	013476	TX

General Provider Information

NPI Number	:	1811212269
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JADRON LLC

Provider Business Mailing Address
First Line	:	110 HWY 35 NORTH
Second Line	:	STE. B
City	:	ROCKPORT
State	:	TX
Zip	:	78381
Country	:	US
Telephone Number	:	361-727-2131
Fax Number	:	361-727-2179

Provider Business Practice Location Address
First Line	:	110 HWY 35 NORTH
Second Line	:	SUITE B
City	:	ROCKPORT
State	:	TX
Zip	:	78382-7838
Country	:	US
Telephone Number	:	361-727-2131
Fax Number	:	361-727-2179

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. CYNTHIA RENEE WATKINS
Credential	:	RN
Telephone Number	:	361-727-2131

Provider Enumeration Date	:	03/29/2010
Last Update Date	:	10/07/2021

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Directions to “JADRON LLC ” Practice Location

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