# JB'S HOME HEALTH AGENCY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396361721
- **Authorized official:** JONATHAN BETANCOURT (PRESIDENT)
- **Authorized official phone:** (346) 218-3594

## Contact information

- **Practice address:** 19850 HAVEN CLIFF LN, CYPRESS, TX 77433-4726
- **Practice address phone:** (346) 218-3594
- **Mailing address:** 19850 HAVEN CLIFF LN, CYPRESS, TX 77433-4726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 06/22/2020
- **Last updated:** 06/22/2020