Organization Active NPI

American Health Care Concepts, Inc

  • Home Health Agency
  • Mesquite, TX
National Provider Identifier
1407929318
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009373 Issued in TX
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 ServiceCCN 457980
Ownership
Proprietary
Certified
Jan 18, 2006
Medicare certification status
ActiveFrom the Provider of Services file
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 files

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

NameRoleSinceShare
Zachary Criss Individual 5% Or Greater Direct Ownership Interest Aug 28, 2019 100%
Corporate DirectorPres Aug 28, 2019 100%
Operational/Managerial ControlPres/Admin Aug 28, 2019 100%
Carolyn Sephus Individual W-2 Managing EmployeeAlt Admin Aug 28, 2019
Operational/Managerial ControlAlt Admin Aug 28, 2019
Ann Varghese Individual W-2 Managing Employee Jan 1, 2011
Operational/Managerial Control Jan 1, 2011

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009373 TX Primary

Addresses

NPPES NPI Registry

Primary 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 Doing business as

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

Sources for this page

Verify at the official NPI Registry.