Organization Active NPI

JT4 Senior Care LLC

  • In Home Supportive Care Agency
  • Coppell, TX
National Provider Identifier
1144718347
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Jul 14, 2023

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)CodeLicenseStatePrimary
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 Doing business as

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
45D2168437JT4 Senior Care, LLC702 S Denton Tap Rd Ste 120, Coppell, TX 75019Certificate of waiverJun 27, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.