JDM Healthcare Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

JDM HEALTHCARE SERVICES LLC

Practice address

1118 Cavalcade Dr
Grand Prairie, TX 75052-7126

Phone

(817) 808-3533

Fax

(469) 520-5801

NPI assigned

Dec 9, 2021

Organization subpart

No

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

Authorized official

Name

Rebecca Anyoso Mwonga, REGISTERED NURSE, MSNPI 1376734335

Title

RN Administrator

Phone

(817) 808-3533

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747120

Legal name

JDM HEALTHCARE SERVICES LLC

Doing business as

INTEGRITY HOME HEALTH CARE SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 28, 2009

Last certification

May 18, 2021

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

1118 Cavalcade Dr
Grand Prairie, TX 75052-7126

Listed as

Integrity Home Health Care ServicesCCN 747120

Ownership

Proprietary

Certified

May 28, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Anyoso Mwonga, RN, BSN

  • Home Health Registered Nurse
  • Grand Prairie, TX
  • NPI 1376734335
  NPD Authorized official

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1366101115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 CAVALCADE DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527126",
            "telephone_number": "817-896-1587",
            "fax_number": "469-520-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 CAVALCADE DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527126",
            "telephone_number": "817-808-3533",
            "fax_number": "469-520-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDM HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "MWONGA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "ANYOSO",
        "authorized_official_title_or_position": "RN ADMINISTRATOR",
        "authorized_official_telephone_number": "817-808-3533",
        "authorized_official_credential": "REGISTERED NURSE, MS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sireesha Janga, MD
• Jap Clinic Inc
• Jap Physical Therapy
• Jas Health Services
• Ehsan Javidan-Nejad, DDS
• Shelline Jeanty, LMSW
• Ashley Jeffers-Bravo
• Adejoke B. Jegede, PH.D.
• Joshua Odell Jenkins
• Jacqueline Jernigan

• Home Health Agency in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.