Organization Active NPI

Jaystal Inc

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1447537899
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JAYSTAL INC
Practice address
6220 Westpark Dr Ste 207
Houston, TX 77057-7371
Phone
(713) 367-7371
Fax
(713) 422-2335
NPI assigned
Nov 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Authorized official

Name
Buchi Adum
Title
Administrator
Phone
(713) 367-7371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X TX Primary

Addresses

Primary practice location

6220 Westpark Dr Ste 207
Houston, TX 77057-7371

Mailing address

6220 Westpark Dr Ste 207
Houston, TX 77057-7371
Phone (713) 367-7371

Other names 1

  • STEDEN HOME HEALTH SERVICES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120726000616 TX Part A Provider - Home Health Agency 3678739190 Practice locations: Houston, TX

Home health agency certification: CCN 747832

Legal name
JAYSTAL INC
Doing business as
STEDEN HOME HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 16, 2013
Last certification
Oct 4, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 8, 2011 in TX
Enrollment address
8511 Old Brook Dr
Houston, TX 77071-2442

Care Compare: Home health agency

Medicare Care Compare
Listed as
Steden Home Health ServicesCCN 747832
Ownership
Proprietary
Certified
Apr 16, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2037056Jaystal Inc Dba Steden Home Health Services8511 Old Brook Drive, Houston, TX 77071Certificate of waiverFeb 16, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Estella a Abam Individual 5% Or Greater Direct Ownership Interest Nov 8, 2011 100%
Corporate OfficerAdministrator Nov 8, 2011 100%
Corporate DirectorAdministrator Nov 8, 2011 100%
W-2 Managing EmployeeAdministrator Nov 8, 2011 100%
Operational/Managerial ControlAdministrator Nov 8, 2011 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1447537899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 WESTPARK DR STE 207",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577371",
            "telephone_number": "713-367-7371",
            "fax_number": "713-422-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 WESTPARK DR STE 207",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577371",
            "telephone_number": "713-367-7371",
            "fax_number": "713-422-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYSTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "ADUM",
        "authorized_official_first_name": "BUCHI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-367-7371"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STEDEN HOME HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.