Organization Active NPI

JCK Homes

  • Case Management Agency
  • Greenville, TX
National Provider Identifier
1710121561
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
JCK HOMES
Practice address
4030 Wesley St
Greenville, TX 75401-5634
Phone
(915) 313-1643
NPI assigned
Apr 23, 2009
Last updated
Apr 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Authorized official

Name
Jacuqiline Ogundipe
Title
Owner
Phone
(903) 454-2119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

4030 Wesley St
Greenville, TX 75401-5634

Mailing address

4030 Wesley St
Greenville, TX 75401-5634
Phone (915) 313-1643

National Provider Directory

National Provider Directory

Locations

4030 Wesley St
Greenville, TX 75401
Phone (915) 313-1643

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1710121561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 WESLEY ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754015634",
            "telephone_number": "915-313-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 WESLEY ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754015634",
            "telephone_number": "915-313-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCK HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "OGUNDIPE",
        "authorized_official_first_name": "JACUQILINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-454-2119"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.