Provider Demographics
NPI:1861553943
Name:JEMS GERIATRIC SERVICES, INC.
Entity type:Organization
Organization Name:JEMS GERIATRIC SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHIE
Authorized Official - Middle Name:N
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:GNP
Authorized Official - Phone:281-778-6882
Mailing Address - Street 1:2838 TAYLORCREST
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-6927
Mailing Address - Country:US
Mailing Address - Phone:281-778-6882
Mailing Address - Fax:281-778-6883
Practice Address - Street 1:2838 TAYLORCREST
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-6927
Practice Address - Country:US
Practice Address - Phone:281-778-6882
Practice Address - Fax:281-778-6883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX539050363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXNP8053OtherBCBS PROVIDER
TXP696363Medicare UPIN
TXNP0410Medicare ID - Type UnspecifiedMEDICARE PROVIDER
TXNP0412Medicare ID - Type UnspecifiedMEDICARE PROVIDER
TXNP0411Medicare ID - Type UnspecifiedMEDICARE PROVIDER