Jesse Healthcare Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

JESSE HEALTHCARE SERVICES LLC

Practice address

1715 Audrey Dr
Garland, TX 75040-5531

Phone

(972) 495-0172

Fax

(972) 495-0367

NPI assigned

Apr 21, 2011

Organization subpart

No

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

Authorized official

Name

Felix Nwaokolo

Title

Administrator/Owner

Phone

(214) 553-9320

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1679864987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 AUDREY DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750405531",
            "telephone_number": "972-495-0172",
            "fax_number": "972-495-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 AUDREY DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750405531",
            "telephone_number": "972-495-0172",
            "fax_number": "972-495-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "NWAOKOLO",
        "authorized_official_first_name": "FELIX",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "214-553-9320"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.