Jaicstar Home Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

JAICSTAR HOME CARE INC

Doing business as

Dependable Home Care of Texoma

Practice address

3617 Broadway Blvd Ste B
Garland, TX 75043-1663

Phone

(903) 462-4448

Fax

(903) 462-4438

NPI assigned

May 23, 2010

Last updated

Sep 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sam Varghese

Title

Administrator

Phone

(214) 221-7900

Specialties & licenses 1

Addresses

Other names 1

• Dependable Home Care of Texoma Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609195197. Details of each certification follow.

• CCN 747633 Home health agency · Active · Details

Home health agency certification: CCN 747633

Legal name

JAICSTAR HOME CARE INC

Doing business as

DEPENDABLE HOME CARE OF TEXOMA

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 8, 2011

Last certification

Aug 11, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

3617 Broadway Blvd
Ste B
Garland, TX 75043-1663

Listed as

Dependable Home Care of TexomaCCN 747633 · All quality measures

Ownership

Proprietary

Certified

Dec 8, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1274572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1609195197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 BROADWAY BLVD STE B",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431663",
            "telephone_number": "214-221-7900",
            "fax_number": "214-221-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 BROADWAY BLVD STE B",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431663",
            "telephone_number": "903-462-4448",
            "fax_number": "903-462-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAICSTAR HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-23",
        "last_updated": "2025-09-02",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "VARGHESE",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-221-7900"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dependable Home Care of Texoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Garland, TX
• Providers in Garland, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.