J-Shalom Home Health Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

J-SHALOM HOME HEALTH SERVICES INC

Doing business as

J-Shalom Home Health Services

Practice address

1416 Junction Run
Mesquite, TX 75181-4409

Phone

(469) 592-2669

Fax

(972) 591-4589

NPI assigned

Apr 14, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Okunbor Alfred-IyamuNPI 1558988675

Title

Owner

Phone

(469) 592-2669

Specialties & licenses 5

Addresses

Other names 1

• J-SHALOM HOME HEALTH SERVICES Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747393

Legal name

J-SHALOM HOME HEALTH SERVICES INC

Doing business as

J-SHALOM HOME HEALTH SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 8, 2010

Last certification

Aug 4, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Oct 23, 2008 in TX

Enrollment address

1416 Junction Run
Mesquite, TX 75181-4409
HHA Branch

Listed as

J-Shalom Home Health ServiceCCN 747393 · All quality measures

Ownership

Proprietary

Certified

Jul 8, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

All disclosed owners & managing parties 2

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

Practitioners 2

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

• Okunbor Alfred-Iyamu

  • Psychiatric/Mental Health Nurse Practitioner
  • Frisco, TX
  • NPI 1558988675

  Home Health

  NPD Authorized official
• Eki Jennifer Obazee

  • Pharmacist
  • Dallas, TX
  • NPI 1437750569
  NPD

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1669615068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 JUNCTION RUN",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751814409",
            "telephone_number": "469-592-2669",
            "fax_number": "972-591-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 JUNCTION RUN",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751814409",
            "telephone_number": "469-592-2669",
            "fax_number": "972-591-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J-SHALOM HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "ALFRED-IYAMU",
        "authorized_official_first_name": "OKUNBOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-592-2669",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J-SHALOM HOME HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ahmad N Izzat, RHP
• J & M Communications Inc (Ultimate Home Health Care)
• J Kirkland Grant, M.D. PA
• J Olivieri Professional Health Network LLC
• J-Lydash Inc Dba Mesquite Adult Day Activities Health Center (Mesquite Adult Day Activities Health Center)
• Jack Jones Hearing Centers, Inc (AudioNova)
• Candes Renee Jackson, CNA, CMA
• Inga Burnette Jackson
• Laquisha Jackson
• Michael Jackson

• Home Health Agency in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.

Verify at the official NPI Registry.