1982903688 NPI number — JODAT HOME HEALTH SERVICES, INC

Table of content: JENNIFER LYNN DAVIS LPC (NPI 1245432061)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982903688 NPI number — JODAT HOME HEALTH SERVICES, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JODAT HOME HEALTH SERVICES, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982903688
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/21/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16431 SEDONA WOODS LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77082-1658
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-704-2843
Provider Business Mailing Address Fax Number:
281-754-4727

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16431 SEDONA WOODS LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77082-1658
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-704-2843
Provider Business Practice Location Address Fax Number:
281-754-4727
Provider Enumeration Date:
03/21/2011

Additional Information

Authorized Official

Authorized Official Last Name:
AKINTUNJI
Authorized Official First Name:
BENSON
Authorized Official Middle Name:
AKINLUYI
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
281-704-2843

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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