Provider Demographics
NPI:1649927187
Name:J & S COMPLETE HEALTH CARE IHS LLC
Entity type:Organization
Organization Name:J & S COMPLETE HEALTH CARE IHS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:314-598-1779
Mailing Address - Street 1:12425 OLD HALLS FERRY RD STE 200
Mailing Address - Street 2:
Mailing Address - City:BLACK JACK
Mailing Address - State:MO
Mailing Address - Zip Code:63033-4201
Mailing Address - Country:US
Mailing Address - Phone:314-813-0401
Mailing Address - Fax:877-501-9850
Practice Address - Street 1:12425 OLD HALLS FERRY RD STE 200
Practice Address - Street 2:
Practice Address - City:BLACK JACK
Practice Address - State:MO
Practice Address - Zip Code:63033-4201
Practice Address - Country:US
Practice Address - Phone:314-813-0401
Practice Address - Fax:877-501-9850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-04
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care