Organization Active NPI

JLM Healthcare, Inc.

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1366419616
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
013969 Issued in TX
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

Updated by the provider on Jun 14, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
170168201MedicaidTX

Other names 1

  • Guardian Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.