Organization Active NPI

Jeby Health Care Services,Inc

  • Home Health Agency
  • League City, TX
National Provider Identifier
1609940410
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009291 Issued in TX
Legal business name
JEBY HEALTH CARE SERVICES,INC
Practice address
614 W Main St Ste D101
League City, TX 77573-3729
Phone
(281) 332-6569
Fax
(281) 332-1076
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Mrs. Ebere Felicia Amaechi-Akuechiama, RN
Title
Adiminisrator
Phone
(281) 332-6569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009291 TX Primary

Addresses

Primary practice location

614 W Main St Ste D101
League City, TX 77573-3729

Mailing address

614 W Main St Ste D101
League City, TX 77573-3771
Phone (281) 332-6569

Other identifiers 4

IdentifierTypeStateIssuer
001013066MedicaidTX
157265301MedicaidTX
001010722MedicaidTX
001007892MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041001000193 TX Part A Provider - Home Health Agency 3971572314 Practice locations: League City, TX

Home health agency certification: CCN 679176

Legal name
JEBY HEALTH CARE SERVICES,INC
Doing business as
JEBY HEALTH CARE SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 24, 2002
Last certification
Apr 11, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
614 W Main St
Ste D101
League City, TX 77573-3771

Care Compare: Home health agency

Medicare Care Compare
Listed as
Jeby Health Care Services, Inc.CCN 679176
Ownership
Proprietary
Certified
Oct 24, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

612 W Main St
League City, TX 77573
Phone (281) 332-6569

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Ebere Felicia Anaechi Individual 5% Or Greater Direct Ownership Interest Oct 29, 2002 100%
Corporate DirectorCeo Admin Don Board Member Jun 1, 2004 100%
Victoria L Castro Individual Corporate DirectorAlt Administrator/ Alt Don Apr 1, 2025
Chinonyereayi N Akuechiama Individual W-2 Managing EmployeeAdministrative Assistant Dec 26, 2012

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1609940410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 W MAIN ST STE D101",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733771",
            "telephone_number": "281-332-6569",
            "fax_number": "281-332-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 W MAIN ST STE D101",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733729",
            "telephone_number": "281-332-6569",
            "fax_number": "281-332-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEBY HEALTH CARE SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "AMAECHI-AKUECHIAMA",
        "authorized_official_first_name": "EBERE",
        "authorized_official_middle_name": "FELICIA",
        "authorized_official_title_or_position": "ADIMINISRATOR",
        "authorized_official_telephone_number": "281-332-6569",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001013066",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157265301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001010722",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001007892",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.