Organization Active NPI

True Vine Healthcare Services Inc.

Doing business as CJ Primary Home Care

  • Personal Care Attendant
  • Arlington, TX
National Provider Identifier
1568733129
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
TRUE VINE HEALTHCARE SERVICES INC.
Doing business as
CJ Primary Home Care
Practice address
1111 W Arkansas LN Ste a
Arlington, TX 76013-6376
Phone
(214) 375-2323
Fax
(214) 375-2411
NPI assigned
Jan 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Joy Iselowo, RN
Title
Assistant Administrator
Phone
(214) 375-2323

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 010401 TX
Home Health Agency 251E00000X
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X Primary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X

Addresses

Primary practice location

1111 W Arkansas LN Ste a
Arlington, TX 76013-6376

Mailing address

1111 W Arkansas LN Ste a
Arlington, TX 76013-6376
Phone (214) 375-2323

Other identifiers 1

IdentifierTypeStateIssuer
014784MedicaidTX

Other names 1

  • CJ PRIMARY HOME CARE Doing business as

National Provider Directory

National Provider Directory

Locations

4121 Marvin D Love Fwy
Ste 2020
Dallas, TX 75224

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1568733129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W ARKANSAS LN STE A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760136376",
            "telephone_number": "214-375-2323",
            "fax_number": "214-375-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W ARKANSAS LN STE A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760136376",
            "telephone_number": "214-375-2323",
            "fax_number": "214-375-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE VINE HEALTHCARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "ISELOWO",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "214-375-2323",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010401",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014784",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CJ PRIMARY HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CJ PRIMARY HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.