Provider Demographics
NPI:1730699075
Name:JIBOP HOME CARE LLC
Entity type:Organization
Organization Name:JIBOP HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PRINCESS IDOWU
Authorized Official - Middle Name:
Authorized Official - Last Name:SUNMOLAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-640-7779
Mailing Address - Street 1:2500 TANGLEWILDE ST STE 410
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-2138
Mailing Address - Country:US
Mailing Address - Phone:832-640-7779
Mailing Address - Fax:713-773-2968
Practice Address - Street 1:2500 TANGLEWILDE ST STE 410
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-2138
Practice Address - Country:US
Practice Address - Phone:832-640-7779
Practice Address - Fax:713-773-2968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-30
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care HomeGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty