Active NPI
Jolly Healthcare Services, LLC
- Home Health Agency
- Cypress, TX
National Provider Identifier
1801037742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- JOLLY HEALTHCARE SERVICES, LLC
- Practice address
- 20322 Mathis Landing Dr
Cypress, TX 77433-6178 - Phone
- (281) 213-3315
- Fax
- (281) 213-3315
- NPI assigned
- Mar 23, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Justice Jolly Amaechi
- Title
- Administrator
- Phone
- (281) 213-3315
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | TX | Primary |
Addresses
Primary practice location
20322 Mathis Landing Dr
Cypress, TX 77433-6178
Mailing address
20322 Mathis Landing Dr
Cypress, TX 77433-6178
Phone (281) 213-3315
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207206801 | Medicaid | TX | |
| 251E00000X | Other | TX | HOME HEALTH |
| 251E00000X | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- Jolly Healthcare Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Cypress, TX
- NPI 1275778185
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Agency
- Cypress, TX
- NPI 1255594149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273449600000",
"number": "1801037742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20322 MATHIS LANDING DR",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774336178",
"telephone_number": "281-213-3315",
"fax_number": "281-213-3315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20322 MATHIS LANDING DR",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774336178",
"telephone_number": "281-213-3315",
"fax_number": "281-213-3315"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOLLY HEALTHCARE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-23",
"last_updated": "2010-05-10",
"status": "A",
"authorized_official_last_name": "AMAECHI",
"authorized_official_first_name": "JUSTICE",
"authorized_official_middle_name": "JOLLY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "281-213-3315",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207206801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME HEALTH",
"identifier": "251E00000X",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251E00000X",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.