Jireh Living Assistance Service LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

NA08637069 Issued in TX

Legal business name

JIREH LIVING ASSISTANCE SERVICE LLC

Practice address

3215 Preston Ave
Pasadena, TX 77505

Phone

(281) 827-2675

Fax

(713) 583-2003

NPI assigned

Jun 29, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Migdalia Itzel Olmos

Title

President

Phone

(281) 827-2675

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• A HELPING HAND HOME CARE SERVICE Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1487918892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8165",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775088165",
            "telephone_number": "281-827-2675",
            "fax_number": "713-583-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 PRESTON AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "77505",
            "telephone_number": "281-827-2675",
            "fax_number": "713-583-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIREH LIVING ASSISTANCE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-29",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "OLMOS",
        "authorized_official_first_name": "MIGDALIA",
        "authorized_official_middle_name": "ITZEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-827-2675",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "NA08637069",
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3239352",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A HELPING HAND HOME CARE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A HELPING HAND HOME CARE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ahmad Mohamed Jeroudi, MD
• Mohamed O Jeroudi, MD
• Brittney Alexi Jimenez, OD
• Cynthia Jimenez
• Jimmy Joe Moon, DDS & Barbara Seid Moon, DDS, Inc.
• Sruthi Job, PT
• Abraham S John, MD
• David L Johnson
• Joshua Alex Johnson
• Makenzie Johnson, MPH, RDN, LD

• In Home Supportive Care Agency in Pasadena, TX
• Providers in Pasadena, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.