Provider Demographics
NPI:1548038714
Name:DOCJUM HEALTHCARE SERVICES, INC
Entity type:Organization
Organization Name:DOCJUM HEALTHCARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DORCAS
Authorized Official - Middle Name:O
Authorized Official - Last Name:OKUNOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-639-1704
Mailing Address - Street 1:1404 GENESIS DR
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-8654
Mailing Address - Country:US
Mailing Address - Phone:972-639-1704
Mailing Address - Fax:
Practice Address - Street 1:1404 GENESIS DR
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-8654
Practice Address - Country:US
Practice Address - Phone:972-639-1704
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-18
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty