Jaycare Provider Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

JAYCARE PROVIDER SERVICES, LLC

Practice address

10027 Spice LN Apt 210
Houston, TX 77072-5026

Phone

(832) 721-4325

NPI assigned

Feb 19, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Jacquetta Ellis

Title

Owner/Admin

Phone

(832) 721-4325

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1487462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487462400000",
    "number": "1760921035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 ELDRIDGE PKWY # 110-253",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770771760",
            "telephone_number": "832-721-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10027 SPICE LN APT 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770725026",
            "telephone_number": "832-721-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYCARE PROVIDER SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-19",
        "last_updated": "2017-02-19",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JACQUETTA",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "832-721-4325",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chinthana Mariam Jayan, MSN,APRN,AGACNP-BC
• Shiny Jayan, FNP-C
• Vikram S. Jayanty, M.D.
• Prashanth Jayaraj, MD
• Aditi Jayaram
• Jaycee's Children Center, Inc.
• Jaydam Services, LLC
• Jayme C. Therapy and Wellness, PLLC
• Mia Lerado Jayme
• Christopher J Jayne, M.D.

• In Home Supportive Care Agency in Houston, TX
• Providers in Houston, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2017; 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.