Organization Active NPI

J & C Homecare Agency

  • In Home Supportive Care Agency
  • Arlington, TX
National Provider Identifier
1871916221
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
014956 Issued in TX
Legal business name
J & C HOMECARE AGENCY
Practice address
1700 E Pioneer Pkwy Ste 188
Arlington, TX 76010-6612
Phone
(619) 757-0921
NPI assigned
Jan 21, 2014
Last updated
Jan 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
Mr. Kevin Duy Pham
Title
Ceo/Administrator
Phone
(619) 757-0921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 014956 TX Primary

Addresses

Primary practice location

1700 E Pioneer Pkwy Ste 188
Arlington, TX 76010-6612

Mailing address

1700 E Pioneer Pkwy Ste 188
Arlington, TX 76010-6612
Phone (619) 757-0921

Other identifiers 1

IdentifierTypeStateIssuer
014956OtherTXTEXAS DEPT. OF AGING AND DISABILITY SERVICES

National Provider Directory

National Provider Directory

Locations

1700 E Pioneer Pkwy
Ste 188
Arlington, TX 76010
Phone (619) 757-0921

NPI Registry JSON

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1871916221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E PIONEER PKWY STE 188",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760106612",
            "telephone_number": "619-757-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E PIONEER PKWY STE 188",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760106612",
            "telephone_number": "619-757-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & C HOMECARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "DUY",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "619-757-0921",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "014956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPT. OF AGING AND DISABILITY SERVICES",
            "identifier": "014956",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.