Jelani Angels Healthcare, Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

JELANI ANGELS HEALTHCARE, INC

Practice address

909 Tallahassee Dr
Denton, TX 76208-2915

Phone

(817) 966-5016

Fax

(817) 549-6663

NPI assigned

Jul 19, 2021

Last updated

Jul 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ellen Clinton

Title

Consultant

Phone

(817) 903-7600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1154994135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 TALLAHASSEE DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762082915",
            "telephone_number": "817-966-5016",
            "fax_number": "817-549-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 TALLAHASSEE DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762082915",
            "telephone_number": "817-966-5016",
            "fax_number": "817-549-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JELANI ANGELS HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "CLINTON",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "817-903-7600"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Tolentino Javier, MS, LPC
• Kaled Jawhari, D.C.
• Madiha Jawwad, MD
• Tyler Cameron Jefferson, PA-C
• Sydney Jeffrey, LMFT
• Jungyu Esther Jenke, FNP
• Jennifer Polen
• Adrienne Douglas Jennings, D.D.S.
• Shinyeong Jeong, MD
• Jerome P. Lisk, M.D., Inc. (Southern California Movement Disorder Sepcialists)

• Adult Care Home Facility in Denton, TX
• Providers in Denton, TX by specialty
• Adult Care Home Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.