Organization Active NPI

JB at-Home Care LLC

  • In Home Supportive Care Agency
  • Cypress, TX
National Provider Identifier
1124716238
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
JB AT-HOME CARE LLC
Practice address
19850 Haven Cliff LN
Cypress, TX 77433-4726
Phone
(346) 218-3594
NPI assigned
Apr 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Jonathan Betancourt
Title
Ambr
Phone
(346) 218-3594

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

19850 Haven Cliff LN
Cypress, TX 77433-4726

Mailing address

19850 Haven Cliff LN
Cypress, TX 77433-4726
Phone (346) 218-3594

National Provider Directory

National Provider Directory
Tax ID family
JB at-Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1124716238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19850 HAVEN CLIFF LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774334726",
            "telephone_number": "346-218-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19850 HAVEN CLIFF LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774334726",
            "telephone_number": "346-218-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JB AT-HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "BETANCOURT",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "346-218-3594"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.