Jumpstart Plus LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

JUMPSTART PLUS LLC

Practice address

908 W Edinburg Ave
Elsa, TX 78543-1769

Phone

(956) 369-8628

Fax

(202) 640-4357

NPI assigned

Feb 26, 2019

Organization subpart

No

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

Authorized official

Name

Ed Wilson

Title

Adminstrative Officer

Phone

(956) 369-8628

Specialties & licenses 4

Addresses

Other names 1

• JUMPSTART PLUS LLC Former legal business name

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1306303474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 W EDINBURG AVE",
            "city": "ELSA",
            "state": "TX",
            "postal_code": "785431769",
            "telephone_number": "956-369-8628",
            "fax_number": "202-640-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 W EDINBURG AVE",
            "city": "ELSA",
            "state": "TX",
            "postal_code": "785431769",
            "telephone_number": "956-369-8628",
            "fax_number": "202-640-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUMPSTART PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "ADMINSTRATIVE OFFICER",
        "authorized_official_telephone_number": "956-369-8628"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JUMPSTART PLUS LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Hearing and Speech Clinic/Center in Elsa, TX
• Providers in Elsa, TX by specialty
• Hearing and Speech Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.