Organization Active NPI

Jericho Health Service, Inc.

  • Personal Care Attendant
  • Brownsville, TX
National Provider Identifier
1447432596
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
JERICHO HEALTH SERVICE, INC.
Practice address
255 Morningside Rd
Brownsville, TX 78521-4934
Phone
(956) 546-7500
Fax
(956) 546-3245
NPI assigned
Nov 30, 2007
Last updated
Mar 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Authorized official

Name
Mr. Jehu Joel Ledezma
Title
Administrator
Phone
(956) 546-7500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU
Home Health Agency 251E00000X 009279 TX
Personal Care Attendant 3747P1801X NU Primary

Addresses

Primary practice location

255 Morningside Rd
Brownsville, TX 78521-4934

Mailing address

255 Morningside Rd
Brownsville, TX 78521-4934
Phone (956) 546-7500

Other identifiers 1

IdentifierTypeStateIssuer
1447432596MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Jericho Health Service Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

255 Morningside Rd
Brownsville, TX 78521
Phone (956) 546-7500

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1447432596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 MORNINGSIDE RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214934",
            "telephone_number": "956-546-7500",
            "fax_number": "956-546-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 MORNINGSIDE RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214934",
            "telephone_number": "956-546-7500",
            "fax_number": "956-546-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERICHO HEALTH SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "LEDEZMA",
        "authorized_official_first_name": "JEHU",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-546-7500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009279",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447432596",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.