Jhonsdtc Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

JHONSDTC INC

Doing business as

Golden Life Home Health Care

Practice address

4901 S McColl Rd Ste B
Edinburg, TX 78539-8259

Phone

(945) 618-4653

Fax

(956) 618-4656

NPI assigned

Dec 21, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Marisol Garza, RN

Title

Administrator

Phone

(956) 618-4653

Specialties & licenses 1

Addresses

Other names 1

• GOLDEN LIFE HOME HEALTH CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747691

Legal name

JHONSDTC INC.

Doing business as

GOLDEN LIFE HOME HEALTH CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 17, 2012

Last certification

Sep 18, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Dec 8, 2009 in TX

Enrollment address

4901 S McColl
Suite B
Edinburg, TX 78539

Listed as

Golden Life Home Health CareCCN 747691 · All quality measures

Ownership

Proprietary

Certified

May 17, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Physical 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

Locations

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.

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1750610739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 S MCCOLL RD STE B",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398259",
            "telephone_number": "945-618-4653",
            "fax_number": "956-618-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 S MCCOLL RD STE B",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398259",
            "telephone_number": "945-618-4653",
            "fax_number": "956-618-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JHONSDTC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-21",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "MARISOL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-618-4653",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLDEN LIFE HOME HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Raena Jennings, PA-C
• Mohammed Waleed Jeraq, M.D
• Jimenez Pediatrics
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• David Lee Jimenez, MD
• Gonzalo Jimenez, LCSW
• Michelle Ann Ibarra Jimenez, M.D.

• Home Health Agency in Edinburg, TX
• Providers in Edinburg, 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 Jul 8, 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.

Verify at the official NPI Registry.