NPIMap

Organization Active NPI

SJ Homecare, Inc.

  • In Home Supportive Care Agency
  • Tyler, TX
National Provider Identifier
1366714701
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SJ HOMECARE, INC.
Doing business as
Visiting Angels
Practice address
1324 S Beckham Ave Ste 250
Tyler, TX 75701-3354
Phone
(903) 581-5122
NPI assigned
Feb 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Mr. Brent Wilson
Title
Owner
Phone
(254) 744-4277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X TX Primary

Addresses

Primary practice location

1324 S Beckham Ave Ste 250
Tyler, TX 75701-3354

Mailing address

1324 S Beckham Ave Ste 250
Tyler, TX 75701-3354
Phone (903) 581-5122

Other names 1

  • Visiting Angels Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SJ Homecare Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1324 S Beckham Ave
Ste 250
Tyler, TX 75701
Phone (903) 581-5122

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1366714701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 S BECKHAM AVE STE 250",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013354",
            "telephone_number": "903-581-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 S BECKHAM AVE STE 250",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013354",
            "telephone_number": "903-581-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJ HOMECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-744-4277",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.