Organization Active NPI

BJK Enterprises, Inc

Doing business as Hospice Healthcare Network

  • Community Based Hospice Care Agency
  • Arlington, TX
National Provider Identifier
1114916020
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
007850 Issued in TX
Legal business name
BJK ENTERPRISES, INC
Doing business as
Hospice Healthcare Network
Practice address
306 E Randol Mill Rd
Suite 160
Arlington, TX 76011-5819
Phone
(817) 461-0154
Fax
(817) 275-9792
NPI assigned
Oct 14, 2005
Last updated
Mar 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Mrs. Balinda Jean Antoine
Title
Ceo/Administrator
Phone
(817) 461-0154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 007850 TX Primary

Addresses

Primary practice location

306 E Randol Mill Rd
Suite 160
Arlington, TX 76011-5819

Mailing address

306 E Randol Mill Rd
Suite 160
Arlington, TX 76011-5819
Phone (817) 461-0154

Other names 1

  • HOSPICE HEALTHCARE NETWORK Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060507000000 TX Part A Provider - Hospice 0749291656 Practice locations: Arlington, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114916020. Details of each certification follow.

Hospice certification: CCN 451720

Legal name
BJK ENTERPRISES INC
Doing business as
HOSPICE HEALTHCARE NETWORK
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 19, 2002
Last certification
Sep 28, 2020
Ownership / control type
Proprietary - Individual
Organization structure
CorporationProprietary
Incorporated
Mar 19, 2000 in TX
Enrollment address
306 E Randol Mill Rd
Ste 100
Arlington, TX 76011-5841

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice Healthcare NetworkCCN 451720 · All quality measures
Ownership
Non-Profit
Certified
Nov 19, 2002
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Adolphus Ray Lewis Individual Contracted Managing EmployeeMD; Dec 1, 2002
Balinda J Antoine Individual 5% Or Greater Direct Ownership InterestAdministrator Dec 22, 2014 100%
W-2 Managing EmployeeAd; Mar 19, 2000

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1114916020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E RANDOL MILL RD",
            "address_2": "SUITE 160",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115819",
            "telephone_number": "817-461-0154",
            "fax_number": "817-275-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E RANDOL MILL RD",
            "address_2": "SUITE 160",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115819",
            "telephone_number": "817-461-0154",
            "fax_number": "817-275-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BJK ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "ANTOINE",
        "authorized_official_first_name": "BALINDA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "817-461-0154",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "007850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOSPICE HEALTHCARE NETWORK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.