Jeevan Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

JEEVAN HOME HEALTH CARE INC

Practice address

3620 N Josey LN Ste 112
Carrollton, TX 75007-3151

Phone

(469) 458-2201

NPI assigned

Oct 11, 2009

Last updated

Mar 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kuriakose Vettichirayil

Title

Administrator

Phone

(469) 458-2201

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821323783. Details of each certification follow.

• CCN 747790 Home health agency · Active · Details

Home health agency certification: CCN 747790

Legal name

JEEVAN HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 23, 2012

Last certification

Jul 21, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Mar 20, 2009 in TX

Enrollment address

3620 North Josey Lane
Ste 112
Carrollton, TX 75007-3151

Listed as

Jeevan Home Health Care IncCCN 747790 · All quality measures

Overall star rating

5 of 5

Ownership

Proprietary

Certified

Sep 23, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational 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 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Wood, CNM

  • Midwife
  • Deming, NM
  • NPI 1326041963
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Michael David Williams, D.O.

  • Family Medicine Physician
  • Midlothian, TX
  • NPI 1184628067

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1255219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1821323783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 N JOSEY LN STE 112",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750073151",
            "telephone_number": "469-458-2201",
            "fax_number": "469-410-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 N JOSEY LN STE 112",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750073151",
            "telephone_number": "469-458-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEEVAN HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-11",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "VETTICHIRAYIL",
        "authorized_official_first_name": "KURIAKOSE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-458-2201"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred Jarrett, PHARMD
• Jason Marchetti MD PA
• Saima Javed, MD
• Hunter Chase Jaynes, MS
• Jcare Home Health Agency, LLC
• Alexis Nicole Jenkins, PTA
• Leslie D Jennings, MD
• Harper Yunyeong Jeong, BCBA
• Jerry T Holubec DO, PA
• Jin Kuk Lee DDS Inc (Vivid Dental)

• Home Health Agency in Carrollton, TX
• Providers in Carrollton, 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 Mar 13, 2019; 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.