SJ Homecare, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SJ HOMECARE, INC.

Practice address

419 W Houston St
Tyler, TX 75702-8049

Phone

(318) 617-9388

NPI assigned

Feb 24, 2022

Organization subpart

No

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

Authorized official

Name

Brent Wilson

Title

Owner

Phone

(903) 784-5500

Specialties & licenses 1

Addresses

Tax ID family

SJ Homecare Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• SJ Home Care

  • Personal Care Attendant
  • Longview, TX
  • NPI 1225583339
  NPD tax ID
• SJ Homecare, Inc.

  • In Home Supportive Care Agency
  • Tyler, TX
  • NPI 1366714701
  NPD tax ID

Locations

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1063168490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 W HOUSTON ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W HOUSTON ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028049",
            "telephone_number": "318-617-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJ HOMECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-784-5500"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shantnu Singh, M.D
• Tiffany Pleshette Singleton, FNP
• Nancy Sirmans
• Nancy Sisco
• Jana Meagher Sisk, LCSW
• SJ Homecare, Inc.
• Andrew Jacob Skabelund, MD
• Lisa K Skariah, PHARMD
• Mary Frances Skeels, CNS/PMH
• Milha Kathryn Skelton, RN, CRNFA

• Clinical Medical Laboratory in Tyler, TX
• Providers in Tyler, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.