Organization Active NPI

Zohteg Home Healthcare

  • Home Health Agency
  • Killeen, TX
National Provider Identifier
1265999510
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ZOHTEG HOME HEALTHCARE
Practice address
4311 Tidal Wave Dr
Killeen, TX 76549-4307
Phone
(254) 350-0386
Fax
(254) 598-5498
NPI assigned
Feb 22, 2019
Last updated
Jun 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Authorized official

Name
Shane Jackson
Title
Administrator
Phone
(254) 350-0386

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

4311 Tidal Wave Dr
Killeen, TX 76549-4307

Mailing address

4311 Tidal Wave Dr
Killeen, TX 76549-4307
Phone (254) 350-0386

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1265999510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 TIDAL WAVE DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494307",
            "telephone_number": "254-350-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 TIDAL WAVE DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494307",
            "telephone_number": "254-350-0386",
            "fax_number": "254-598-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOHTEG HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "254-350-0386"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.