Organization Active NPI

Whites Executive Patient Home Care LLC

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1609465541
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WHITES EXECUTIVE PATIENT HOME CARE LLC
Practice address
1220 River Bend Dr Ste 116
Dallas, TX 75247-4996
Phone
(214) 600-4081
Fax
(866) 224-2441
NPI assigned
Jan 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Authorized official

Name
Jakiya S Jenkins
Title
Owner
Phone
(214) 600-4081

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X

Addresses

Primary practice location

1220 River Bend Dr Ste 116
Dallas, TX 75247-4996

Mailing address

1220 River Bend Dr Ste 116
Dallas, TX 75247-4996
Phone (214) 600-4081

National Provider Directory

National Provider Directory

Locations

1220 River Bend Dr
Ste 116
Dallas, TX 75247
Phone (214) 600-4081

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1609465541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 RIVER BEND DR STE 116",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474996",
            "telephone_number": "214-600-4081",
            "fax_number": "866-224-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 RIVER BEND DR STE 116",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474996",
            "telephone_number": "214-600-4081",
            "fax_number": "866-224-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITES EXECUTIVE PATIENT HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "JAKIYA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-600-4081"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 14, 2021; 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.