Organization Active NPI

Jacy's Home Healthcare Plus, Inc.

  • Personal Care Attendant
  • Dallas, TX
National Provider Identifier
1780758433
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
JACY'S HOME HEALTHCARE PLUS, INC.
Practice address
2639 Walnut Hill Lane
Suite 232
Dallas, TX 75229
Phone
(214) 350-6660
Fax
(214) 350-6662
NPI assigned
Nov 17, 2006
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Mr. Peter Iyiakimo Okafor, MBA, FINANCE
Title
Chief Financial Officer
Phone
(214) 350-6660

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 008565 TX
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

2639 Walnut Hill Lane
Suite 232
Dallas, TX 75229

Mailing address

2639 Walnut Hill Lane
Suite 232
Dallas, TX 75229
Phone (214) 350-6660

Other identifiers 1

IdentifierTypeStateIssuer
001014274MedicaidTX

National Provider Directory

National Provider Directory

Locations

2639 Walnut Hill Ln
Ste 116
Dallas, TX 75229
Phone (214) 350-6660

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1780758433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 WALNUT HILL LANE",
            "address_2": "SUITE 232",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75229",
            "telephone_number": "214-350-6660",
            "fax_number": "214-350-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 WALNUT HILL LANE",
            "address_2": "SUITE 232",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75229",
            "telephone_number": "214-350-6660",
            "fax_number": "214-350-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACY'S HOME HEALTHCARE PLUS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "OKAFOR",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "IYIAKIMO",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "214-350-6660",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, FINANCE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "008565",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001014274",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.