Jaeg Bright Medical Services,Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

014266 Issued in TX

Legal business name

JAEG BRIGHT MEDICAL SERVICES,INC.

Doing business as

Jaeg Bright Medical Services, Inc.

Practice address

6420 Hillcroft St
Suite 210
Houston, TX 77081-3190

Phone

(713) 779-7042

Fax

(713) 779-7093

NPI assigned

Feb 19, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Tameria Lashonda Kelly-Pena, RN

Title

Administrator / Don

Phone

(713) 779-7042

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jaeg Bright Medical Services, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 679229

Legal name

JAEG BRIGHT MEDICAL SERVICES, INC.

Doing business as

JAEG BRIGHT MEDICAL SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 6, 2003

Last certification

Nov 15, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jan 1, 2007 in TX

Enrollment address

16000 Park Ten PL
Ste 304
Houston, TX 77084-7297

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Jaeg Bright Medical Services, Inc.

  • Home Health Agency
  • Houston, TX
  • NPI 1497041123

  O20030520000006

  Same enrollment

Listed as

Jaeg Bright Medical Services IncCCN 679229

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Mar 6, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1801930045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 HILLCROFT ST",
            "address_2": "SUITE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770813190",
            "telephone_number": "713-779-7042",
            "fax_number": "713-779-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 HILLCROFT ST",
            "address_2": "SUITE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770813190",
            "telephone_number": "713-779-7042",
            "fax_number": "713-779-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAEG BRIGHT MEDICAL SERVICES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "KELLY-PENA",
        "authorized_official_first_name": "TAMERIA",
        "authorized_official_middle_name": "LASHONDA",
        "authorized_official_title_or_position": "ADMINISTRATOR / DON",
        "authorized_official_telephone_number": "713-779-7042",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "014266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159877301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jaeg Bright Medical Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monika Jadhav, M.D.
• Siddharth P. Jadhav, M.D.
• Rogelia Tongco Jadulco, PT
• Gloria Jadulos
• Jaeg Bright Medical Services, Inc.
• Robert Jaehne, D.C.
• Frank Jaeschke, PTA, MED
• Ali Jafar, MD
• Anahita Jafari
• Haleh Jafari, DDS

• Home Health Agency in Houston, TX
• Providers in Houston, 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 Jan 16, 2013; 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.