Organization Active NPI

Home Care Elite

  • Home Health Agency
  • Amarillo, TX
National Provider Identifier
1679900914
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME CARE ELITE
Practice address
5706 Notre Dame Dr
Amarillo, TX 79109-6662
Phone
(806) 206-7119
NPI assigned
Oct 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Authorized official

Name
Mr. Jackson Diceman Jeffers, BAA
Title
Ceo/Owner
Phone
(806) 206-7119

Specialties & licenses 1

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

Addresses

Primary practice location

5706 Notre Dame Dr
Amarillo, TX 79109-6662

Mailing address

5706 Notre Dame Dr
Amarillo, TX 79109-6662

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1679900914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5706 NOTRE DAME DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791096662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5706 NOTRE DAME DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791096662",
            "telephone_number": "806-206-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE ELITE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-01",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "JEFFERS",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_middle_name": "DICEMAN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "806-206-7119",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BAA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.