Jessy Effective Home Health Care Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

JESSY EFFECTIVE HOME HEALTH CARE INC.

Practice address

2851 Bronco Drive
Same
Dallas, TX 75237

Phone

(469) 789-6843

Fax

(972) 572-0009

NPI assigned

Jun 25, 2012

Organization subpart

Yes

Parent organization

JESSY EFFECTIVE HOME HEALTH CARE INC.As reported in NPPES

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

Authorized official

Name

Mr. Chris C Ogbu

Title

Chief Financinal Officer

Phone

(469) 789-6843

Specialties & licenses 1

Addresses

Other names 1

• JESSY EFFECTIVE HOME HEALTH CARE INC. Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 748023

Legal name

JESSY EFFECTIVE HOME HEALTH CARE, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 7, 2021

Last certification

Mar 7, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

8410 S Westmoreland Rd
Apt 602
Dallas, TX 75237-3810

Listed as

Jessy Effective Home Health Care, Inc.CCN 748023

Ownership

Proprietary

Certified

Mar 7, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Jessy Effective Home Health Care Inc

All disclosed owners & managing parties 1

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

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1386907384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 BRONCO DR",
            "address_2": "SAME",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373225",
            "telephone_number": "469-789-6843",
            "fax_number": "972-572-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 BRONCO DRIVE",
            "address_2": "SAME",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75237",
            "telephone_number": "469-789-6843",
            "fax_number": "972-572-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSY EFFECTIVE HOME HEALTH CARE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JESSY EFFECTIVE HOME HEALTH CARE INC.",
        "enumeration_date": "2012-06-25",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "OGBU",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF FINANCINAL OFFICER",
        "authorized_official_telephone_number": "469-789-6843",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JESSY EFFECTIVE HOME HEALTH CARE INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Dallas, TX
• Providers in Dallas, 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 Jun 25, 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.
• 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.