Active NPI
True Vine Healthcare Services Inc.
Doing business as CJ Primary Home Care
- Personal Care Attendant
- Arlington, TX
National Provider Identifier
1568733129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 010401 | TX | |
| Home Health Agency | 251E00000X | |||
| Attendant Care Provider | 3747A0650X | |||
| Personal Care Attendant | 3747P1801X | Primary | ||
| Home Health Aide | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014784 | Medicaid | TX |
Other names 1
- CJ PRIMARY HOME CARE
National Provider Directory
National Provider DirectoryLocations
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.