Provider Demographics
NPI:1730575531
Name:JONSAN HOME HEALTH INC
Entity type:Organization
Organization Name:JONSAN HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CRADY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-504-3608
Mailing Address - Street 1:11120 WATT CIR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78233-5732
Mailing Address - Country:US
Mailing Address - Phone:210-504-3608
Mailing Address - Fax:210-787-4145
Practice Address - Street 1:11120 WATT CIR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78233-5732
Practice Address - Country:US
Practice Address - Phone:210-504-3608
Practice Address - Fax:210-787-4145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-08
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion