Active NPI
JP and P Healthcare Agency Inc.
- Home Health Agency
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 013153
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Ownership
- Proprietary
- Certified
- Jan 28, 2011
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1074456 | JP and P Healthcare Agency | Certificate of waiver | Sep 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Joy Fletcher | 5% Or Greater Direct Ownership Interest | Feb 24, 2009 | 100% |
| Corporate Director | Apr 14, 2010 | 100% | |
| W-2 Managing Employee | Mar 10, 2010 | ||
| Operational/Managerial Control | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.