NPIMap

Organization Active NPI

JCK Homecare

  • In Home Supportive Care Agency
  • Phoenix, AZ
National Provider Identifier
1124745146
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
JCK HOMECARE
Practice address
2550 W Union Hills Dr Ste 350-8934
Phoenix, AZ 85027-5163
Phone
(832) 267-8165
NPI assigned
Oct 20, 2022
Organization subpart
Yes
Parent organization
ZUREY GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Authorized official

Name
Dr. Johnson I Korie, MD
Title
Ceo
Phone
(832) 267-8165

Specialties & licenses 1

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

Addresses

Primary practice location

2550 W Union Hills Dr Ste 350-8934
Phoenix, AZ 85027-5163

Mailing address

2550 W Union Hills Dr Ste 350-8934
Phoenix, AZ 85027-5163
Phone (832) 267-8165

National Provider Directory

National Provider Directory
Tax ID family
JCK Medical Transportation3 organizations share this tax ID, including this one
Part of
JCK Medical Transportation

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1124745146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 W UNION HILLS DR STE 350-8934",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275163",
            "telephone_number": "832-267-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 W UNION HILLS DR STE 350-8934",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275163",
            "telephone_number": "832-267-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCK HOMECARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ZUREY GROUP LLC",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-15",
        "status": "A",
        "authorized_official_last_name": "KORIE",
        "authorized_official_first_name": "JOHNSON",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-267-8165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.