Active NPI
JT4 Senior Care LLC
- In Home Supportive Care Agency
- Coppell, TX
National Provider Identifier
1144718347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- JT4 SENIOR CARE LLC
- Practice address
- 702 S Denton Tap Rd Ste 120
Coppell, TX 75019-4541 - Phone
- (863) 797-6025
- NPI assigned
- Apr 24, 2018
- 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
- John F Charrier
- Title
- Owner
- Phone
- (863) 797-6025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
702 S Denton Tap Rd Ste 120
Coppell, TX 75019-4541
Mailing address
702 S Denton Tap Rd Ste 120
Coppell, TX 75019-4541
Phone (863) 797-6025
Other names 1
- Home Instead Senior Care
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2168437 | JT4 Senior Care, LLC | Certificate of waiver | Jun 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
702 S Denton Tap Rd
Ste 120
Coppell, TX 75019
Phone (863) 797-6025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689292800000",
"number": "1144718347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 S DENTON TAP RD STE 120",
"city": "COPPELL",
"state": "TX",
"postal_code": "750194541",
"telephone_number": "863-797-6025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 S DENTON TAP RD STE 120",
"city": "COPPELL",
"state": "TX",
"postal_code": "750194541",
"telephone_number": "863-797-6025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JT4 SENIOR CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-24",
"last_updated": "2023-07-14",
"certification_date": "2023-07-14",
"status": "A",
"authorized_official_last_name": "CHARRIER",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "863-797-6025"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Home Instead Senior Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Coppell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.