Active NPI
BJK Enterprises, Inc
Doing business as Hospice Healthcare Network
- Community Based Hospice Care Agency
- Arlington, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 007850
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Network
- Ownership
- Non-Profit
- Certified
- Nov 19, 2002
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Adolphus Ray Lewis | Contracted Managing Employee | Dec 1, 2002 | |
| Balinda J Antoine | 5% Or Greater Direct Ownership Interest | Dec 22, 2014 | 100% |
| W-2 Managing Employee | 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.
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1265403497
Contracted Managing Employee
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.