Jae's House of Hope LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

JAE'S HOUSE OF HOPE LLC

Practice address

2131 N Collins St
Suite 433-320
Arlington, TX 76011-2849

Phone

(682) 808-4510

Fax

(682) 808-4511

NPI assigned

Oct 21, 2014

Last updated

Feb 15, 2017By 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

Miss Latwanya Janea Traylor, RN, FNP-BC

Title

Chief Executive Officer

Phone

(214) 384-6466

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1609270594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 N COLLINS ST",
            "address_2": "SUITE 433-320",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760112849",
            "telephone_number": "682-808-4510",
            "fax_number": "682-808-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 N COLLINS ST",
            "address_2": "SUITE 433-320",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760112849",
            "telephone_number": "682-808-4510",
            "fax_number": "682-808-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAE'S HOUSE OF HOPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "TRAYLOR",
        "authorized_official_first_name": "LATWANYA",
        "authorized_official_middle_name": "JANEA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "214-384-6466",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.