Jubilee Healthcare Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

JUBILEE HEALTHCARE SERVICES

Practice address

5828 Somerton Dr
Grand Prairie, TN 75052-9085

Phone

(817) 695-9094

Fax

(817) 695-9094

NPI assigned

Oct 15, 2009

Last updated

Oct 15, 2009By 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

Mr. Philip B Uwagbai

Title

Director

Phone

(817) 695-9094

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1285969865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5828 SOMERTON DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528590",
            "telephone_number": "817-695-9094",
            "fax_number": "817-695-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5828 SOMERTON DR",
            "city": "GRAND PRAIRIE",
            "state": "TN",
            "postal_code": "750529085",
            "telephone_number": "817-695-9094",
            "fax_number": "817-695-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBILEE HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "UWAGBAI",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-695-9094",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.