NPIMap

Organization Active NPI

CJ Homecare Inc.

  • In Home Supportive Care Agency
  • Beaumont, TX
National Provider Identifier
1104205558
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CJ HOMECARE INC.
Doing business as
Visiting Angels
Practice address
1110 Park St
Suite 800
Beaumont, TX 77701-3614
Phone
(409) 291-4029
NPI assigned
May 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Authorized official

Name
Brent Wilson
Title
Partner
Phone
(254) 744-4277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1110 Park St
Suite 800
Beaumont, TX 77701-3614

Mailing address

1110 Park St
Suite 800
Beaumont, TX 77701-3614

Other names 1

  • Visiting Angels Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CJ 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.

Locations

1110 Park St
Ste 800
Beaumont, TX 77701
Phone (409) 291-4029

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1104205558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 PARK ST",
            "address_2": "SUITE 800",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 PARK ST",
            "address_2": "SUITE 800",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013614",
            "telephone_number": "409-291-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJ HOMECARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "254-744-4277"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.