Organization Active NPI

Joellen Incorporated

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1477883601
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
011488 Issued in TX
Legal business name
JOELLEN INCORPORATED
Practice address
13999 Goldmark Dr Ste 340
Dallas, TX 75240-4254
Phone
(972) 234-3110
Fax
(972) 234-2515
NPI assigned
Jan 11, 2010
Last updated
Jan 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Authorized official

Name
Mr. Jolly Egharevba
Title
Administrator
Phone
(972) 234-3110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 011488 TX Primary

Addresses

Primary practice location

13999 Goldmark Dr Ste 340
Dallas, TX 75240-4254

Mailing address

13999 Goldmark Dr Ste 340
Dallas, TX 75240-4254
Phone (972) 234-3110

National Provider Directory

National Provider Directory

Locations

13999 Goldmark Dr
Ste 340
Dallas, TX 75240
Phone (214) 575-7070

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1477883601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13999 GOLDMARK DR STE 340",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404254",
            "telephone_number": "972-234-3110",
            "fax_number": "972-234-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13999 GOLDMARK DR STE 340",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404254",
            "telephone_number": "972-234-3110",
            "fax_number": "972-234-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOELLEN INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "EGHAREVBA",
        "authorized_official_first_name": "JOLLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-234-3110",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.