Active NPI
JLM Healthcare, Inc.
- Home Health Agency
- San Antonio, TX
National Provider Identifier
1366419616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 013969
- Legal business name
- JLM HEALTHCARE, INC.
- Practice address
- 45 NE Loop 410 Ste 903B
San Antonio, TX 78216-5832 - Phone
- (210) 377-1033
- Fax
- (210) 377-2560
- NPI assigned
- Mar 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Gerald Ginn
- Title
- Cfo Evp
- Phone
- (225) 299-3020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 013969 | TX | Primary |
Addresses
Primary practice location
45 NE Loop 410 Ste 903B
San Antonio, TX 78216-5832
Mailing address
1500 N Greenville Ave Ste 300
Richardson, TX 75081-2266
Phone (817) 882-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170168201 | Medicaid | TX |
Other names 1
- Guardian Healthcare
National Provider Directory
National Provider DirectoryLocations
4538 Centerview
Ste 240
San Antonio, TX 78228
Phone (206) 669-1844
45 NE Loop 410
Ste 903B
San Antonio, TX 78216
Phone (210) 377-1033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655164800000",
"number": "1366419616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 N GREENVILLE AVE STE 300",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750812266",
"telephone_number": "817-882-8200",
"fax_number": "817-882-8789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 NE LOOP 410 STE 903B",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782165832",
"telephone_number": "210-377-1033",
"fax_number": "210-377-2560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JLM HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-07",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A",
"authorized_official_last_name": "GINN",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "GERALD",
"authorized_official_title_or_position": "CFO EVP",
"authorized_official_telephone_number": "225-299-3020"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "013969",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "170168201",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Guardian Healthcare",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Guardian Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.