SJ Home Care

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

014739 Issued in TX

Legal business name

SJ HOME CARE

Doing business as

Visiting Angels

Practice address

1605 Judson Rd
Suite B-F
Longview, TX 75601-3662

Phone

(903) 215-8183

Fax

(903) 215-8184

NPI assigned

Aug 18, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Jackie Brisset, HCC, MC

Title

Alternate Administrator

Phone

(903) 215-8183

Specialties & licenses 1

Addresses

Other names 1

• Visiting Angels Doing business as

Tax ID family

SJ Homecare Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• SJ Homecare, Inc.

  • Clinical Medical Laboratory
  • Tyler, TX
  • NPI 1063168490
  NPD tax ID
• SJ Homecare, Inc.

  • In Home Supportive Care Agency
  • Tyler, TX
  • NPI 1366714701
  NPD tax ID

Locations

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1225583339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E FRONT ST",
            "address_2": "SUITE 245",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028213",
            "telephone_number": "903-581-5122",
            "fax_number": "903-215-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 JUDSON RD",
            "address_2": "SUITE B-F",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756013662",
            "telephone_number": "903-215-8183",
            "fax_number": "903-215-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJ HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "BRISSET",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "ALTERNATE ADMINISTRATOR",
        "authorized_official_telephone_number": "903-215-8183",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "HCC, MC"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "TX",
            "license": "014739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sister'S Hearts of Gold, LLC
• Sisters Foster Care
• Sita M Devulapalli, MD, PA
• Sitting Angels Home Care
• Sizewise Rentals LLC
• Cori Elena Skarda, MD
• Shayne Taylor Skarda, M.D.
• Emily Margaret Skoog, M.D.
• Hunter Skoog, MD
• Sara Slabisak, MD

• Personal Care Attendant in Longview, TX
• Providers in Longview, TX by specialty
• Personal Care Attendant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.