Daniel Jarvis Home Health Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

003052 Issued in TX

Legal business name

DANIEL JARVIS HOME HEALTH AGENCY

Practice address

4021 E 29TH St
Suite 104
Bryan, TX 77802-4227

Phone

(979) 260-6941

Fax

(979) 260-6969

NPI assigned

Oct 2, 2006

Last updated

Jan 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kenya L Myers, BS

Title

Executive Director/Ceo

Phone

(979) 260-6941

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Alomega Home Health Care LLC

  • Home Health Agency
  • College Station, TX
  • NPI 1013305077

  Member Of

  NPD member

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Alomega Home Health Care LLC

  • Home Health Agency
  • College Station, TX
  • NPI 1013305077

  Sold to, 2016-03-01

  CMS change of ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Georgette Kibbe-Herring, NP-C

  • Family Nurse Practitioner
  • College Station, TX
  • NPI 1356719876
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1376636365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 E 29TH ST",
            "address_2": "SUITE 104",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024227",
            "telephone_number": "979-260-6941",
            "fax_number": "979-260-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 E 29TH ST",
            "address_2": "SUITE 104",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024227",
            "telephone_number": "979-260-6941",
            "fax_number": "979-260-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL JARVIS HOME HEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "KENYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CEO",
        "authorized_official_telephone_number": "979-260-6941",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "003052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shakaria Jelynne Daily
• Kimberlyn Dairy
• Anna P Damian, MD
• David Reyes Damian Jr., MD
• Derek Dane, PA-C
• Daniel Jarvis Private Duty Corporation
• Wesley Danielle Daniels, RD, LD
• Dansby House Inc
• Heather R Darcey, DDS
• Piyush Pravinkumar Darji, APRN

• Home Health Agency in Bryan, TX
• Providers in Bryan, 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 Jan 19, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.