Active NPI
Jenny M Pratz
- Adult Care Home Facility
- Rusk, TX
National Provider Identifier
1417503533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Practice address
- 735 N Henderson St
Rusk, TX 75785-1131 - Phone
- (903) 393-3623
- NPI assigned
- Aug 14, 2019
- Reactivated
- Sep 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
735 N Henderson St
Rusk, TX 75785-1131
Mailing address
735 N Henderson St
Rusk, TX 75785-1131
Phone (903) 393-3623
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Rusk | ||
| Other URL | Rusk |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jenny Pratz | Adult Care Home | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Care Home Facility
- Rusk, TX
- NPI 1013531961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1417503533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 N HENDERSON ST",
"city": "RUSK",
"state": "TX",
"postal_code": "757851131",
"telephone_number": "903-393-3623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 N HENDERSON ST",
"city": "RUSK",
"state": "TX",
"postal_code": "757851131",
"telephone_number": "903-393-3623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATZ",
"first_name": "JENNY",
"middle_name": "M",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-14",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"deactivation_date": "2020-06-04",
"reactivation_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Rusk",
"affiliation": "N",
"address_1": "735 N Henderson St",
"city": "Rusk",
"state": "TX",
"country_code": "US",
"postal_code": "757851131",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Rusk",
"affiliation": "N",
"address_1": "735 N Henderson St",
"city": "Rusk",
"state": "TX",
"country_code": "US",
"postal_code": "757851131",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rusk, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.