Active NPI
American Health Care Concepts, Inc
- Home Health Agency
- Mesquite, TX
National Provider Identifier
1407929318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 009373
- Legal business name
- AMERICAN HEALTH CARE CONCEPTS, INC
- Practice address
- 609 N Ebrite St
Suite 103
Mesquite, TX 75149-3478 - Phone
- (972) 329-3900
- Fax
- (972) 329-3903
- NPI assigned
- Nov 16, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Zachary Criss
- Title
- Administrator
- Phone
- (972) 329-3900
Care Compare: Home health agency
Medicare Care Compare- Listed as
- JK Home Health Service
- Ownership
- Proprietary
- Certified
- Jan 18, 2006
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041005000125 | TX | Part A Provider - Home Health Agency | 2163481383 | Practice locations: Mesquite, TX |
Home health agency certification: CCN 457980
- Legal name
- AMERICAN HEALTH CARE CONCEPTS, INC
- Doing business as
- JK HOME HEALTH SERVICE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 18, 2006
- Last certification
- Mar 4, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- May 17, 2004 in TX
- Enrollment address
- 609 N Ebrite St
Ste 103
Mesquite, TX 75149-3480
All disclosed owners & managing parties 3
Medicare enrollment filesAs disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Zachary Criss | 5% Or Greater Direct Ownership Interest | Aug 28, 2019 | 100% |
| Corporate Director | Aug 28, 2019 | 100% | |
| Operational/Managerial Control | Aug 28, 2019 | 100% | |
| Carolyn Sephus | W-2 Managing Employee | Aug 28, 2019 | |
| Operational/Managerial Control | Aug 28, 2019 | ||
| Ann Varghese | W-2 Managing Employee | Jan 1, 2011 | |
| Operational/Managerial Control | Jan 1, 2011 |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 009373 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
609 N Ebrite St
Suite 103
Mesquite, TX 75149-3478
Mailing address
609 N Ebrite St
Suite 103
Mesquite, TX 75149-3478
Phone (972) 329-3900
Other names 1
NPPES NPI Registry- JK HOME HEALTH SERVICE
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 15, 2022.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668470400000",
"number": "1407929318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 N EBRITE ST",
"address_2": "SUITE 103",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751493478",
"telephone_number": "972-329-3900",
"fax_number": "972-329-3903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 N EBRITE ST",
"address_2": "SUITE 103",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751493478",
"telephone_number": "972-329-3900",
"fax_number": "972-329-3903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN HEALTH CARE CONCEPTS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-16",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A",
"authorized_official_last_name": "CRISS",
"authorized_official_first_name": "ZACHARY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "972-329-3900",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "009373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JK HOME HEALTH SERVICE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "JK HOME HEALTH SERVICE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mesquite, TX
- America'S Best Contacts & Eyeglasses
- American Chiropractic Clinic
- American Current Care P.a.
- American Current Care, P.a.
- American General Merchants Inc.
- American Integrated Healthcare PLLC
- American Multispecialty Care PLLC
- American Specialty Diagnostics Inc
- Amerismiles Dental of Mesquite PLLC
- Amicare Home Health Services Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.