Jaison Kuruvilla, RN

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

2804 Helen LN
Mesquite, TX 75181-1862

Phone

(214) 263-7236

NPI assigned

May 15, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Olympus Home Health Inc

  • Home Health Agency
  • Mesquite, TX
  • NPI 1215593215
  NPD (past) Authorized official

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1881250876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 HELEN LN",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751811862",
            "telephone_number": "214-263-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 HELEN LN",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751811862",
            "telephone_number": "214-263-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURUVILLA",
        "first_name": "JAISON",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Family Psychiatry PLLC
• Kubosumi Chiropractic & Wellness, LLC
• Andrew Kubosumi, D.C.
• James Kun
• Anita Kurien, M.S., CCC-SLP
• Sanjay Kuruvilla
• Karl F Kutch, OD
• Kwnutrition
• Kylie'S Adult Daycare Services
• Angela Ladd

• Home Health Agency in Mesquite, TX
• Providers in Mesquite, 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 May 15, 2019; 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.