Organization Active NPI

JP and P Healthcare Agency Inc.

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1649538695
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
013153 Issued in TX
Legal business name
JP AND P HEALTHCARE AGENCY INC.
Practice address
11551 Forest Central Dr Ste 101
Dallas, TX 75243-3913
Phone
(214) 404-1509
Fax
(214) 647-1866
NPI assigned
Apr 27, 2012
Last updated
Oct 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Mrs. Joy Lfeyinwa Fletcher
Title
Administrator
Phone
(214) 772-6422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 013153 TX Primary

Addresses

Primary practice location

11551 Forest Central Dr Ste 101
Dallas, TX 75243-3913

Mailing address

11551 Forest Central Dr Ste 101
Dallas, TX 75243-3913
Phone (214) 404-1509

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101015000422 TX Part A Provider - Home Health Agency 4587656467 Practice locations: Dallas, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649538695. Details of each certification follow.

Home health agency certification: CCN 747513

Legal name
JP AND P HEALTHCARE AGENCY INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 28, 2011
Last certification
Jan 16, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 19, 2011 in TX
Enrollment address
11551 Forest Central Dr
Ste 101
Dallas, TX 75243-3913

Care Compare: Home health agency

Medicare Care Compare
Listed as
JP and P Healthcare Agency IncCCN 747513 · All quality measures
Ownership
Proprietary
Certified
Jan 28, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1074456JP and P Healthcare Agency11551 Forest Central Drive, Suite 101, Dallas, TX 75243Certificate of waiverSep 27, 2027

National Provider Directory

National Provider Directory

Locations

11551 Forest Central Dr
Ste 101
Dallas, TX 75243
Phone (214) 221-7200

9535 Forest Ln
Ste 209
Dallas, TX 75243
Phone (214) 404-1509

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Joy Fletcher Individual 5% Or Greater Direct Ownership Interest Feb 24, 2009 100%
Corporate DirectorDir/Admin/Owner Apr 14, 2010 100%
W-2 Managing Employee Mar 10, 2010
Operational/Managerial ControlAdmin/Owner Oct 19, 2011 100%

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1649538695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11551 FOREST CENTRAL DR STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433913",
            "telephone_number": "214-404-1509",
            "fax_number": "214-647-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11551 FOREST CENTRAL DR STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433913",
            "telephone_number": "214-404-1509",
            "fax_number": "214-647-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JP AND P HEALTHCARE AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "LFEYINWA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-772-6422",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "013153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.