Jefferson County Home Health Care Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

002583 Issued in TX

Legal business name

JEFFERSON COUNTY HOME HEALTH CARE INC.

Practice address

2670 Laurel St
Beaumont, TX 77702

Phone

(409) 835-9909

Fax

(409) 835-9949

NPI assigned

Oct 2, 2006

Last updated

Mar 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Angela Rose Darden, RNNPI 1962217463

Title

Administrator

Phone

(409) 835-9909

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114011699. Details of each certification follow.

• CCN 677686 Home health agency · Active · Details

Home health agency certification: CCN 677686

Legal name

JEFFERSON COUNTY HOME HEALTH CARE INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 24, 1993

Last certification

Feb 13, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jul 15, 1993 in TX

Enrollment address

2670 Laurel St
Beaumont, TX 77702-2205

Listed as

Jefferson County Home Health Care IncCCN 677686 · All quality measures

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Aug 24, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Angela Rose Darden, AGNP

  • Gerontology Nurse Practitioner
  • Beaumont, TX
  • NPI 1962217463

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela Rose Darden, AGNP

  • Gerontology Nurse Practitioner
  • Beaumont, TX
  • NPI 1962217463
  NPD Authorized official

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Amber Tenille Goldsmith, FNP

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1093340697

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1114011699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 LAUREL ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77702",
            "telephone_number": "409-835-9909",
            "fax_number": "409-835-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 LAUREL ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77702",
            "telephone_number": "409-835-9909",
            "fax_number": "409-835-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "DARDEN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "409-835-9909",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "002583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Eric Jaynes, DDS
• Carley Ann Jaynes
• JCH Inc (Harbor Home Health)
• Tamarra Jean-Chataigne, DMD
• Jefferson County Emergency Services District No. 4
• Jefferson County Public Health Dept
• Jefferson Emergency Medicine Associates PA
• Jefferson Emergency Physicians, PLLC
• Jefferson Intensivist Group PA
• Jefferson Physician Services, PLLC

• Home Health Agency in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.