Organization Active NPI

Jarvic Healthcare, Inc.

  • Home Health Agency
  • Katy, TX
National Provider Identifier
1144700634
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JARVIC HEALTHCARE, INC.
Practice address
21514 Bowcreek Lane
Katy, TX 77449
Phone
(832) 867-8447
Fax
(346) 770-1714
NPI assigned
Aug 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Chimdike Victor Ogbonnaya, RN/BSNNPI 1669972519
Title
Administrator/Don
Phone
(832) 867-8447

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

21514 Bowcreek Lane
Katy, TX 77449

Mailing address

21514 Bowcreek Lane
Katy, TX 77449
Phone (832) 867-8447

Other identifiers 1

IdentifierTypeStateIssuer
4108953MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Emails

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2181954Jarvic Healthcare Inc21514 Bowcreek Lane, Katy, TX 77449Certificate of waiverApr 13, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1144700634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21514 BOWCREEK LANE",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77449",
            "telephone_number": "832-867-8447",
            "fax_number": "346-770-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21514 BOWCREEK LANE",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77449",
            "telephone_number": "832-867-8447",
            "fax_number": "346-770-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARVIC HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "OGBONNAYA",
        "authorized_official_first_name": "CHIMDIKE",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "ADMINISTRATOR/DON",
        "authorized_official_telephone_number": "832-867-8447",
        "authorized_official_credential": "RN/BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4108953",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Emails",
            "affiliation": "N",
            "address_1": "21514 Bowcreek Ln",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774498144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.