Active NPI
DJK Home Healthcare, LLC
- Home Health Agency
- Amarillo, TX
National Provider Identifier
1942375191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 009669
- Legal business name
- DJK HOME HEALTHCARE, LLC
- Practice address
- 1612 S Van Buren St
Amarillo, TX 79102 - Phone
- (806) 367-6612
- Fax
- (806) 367-7148
- NPI assigned
- Nov 22, 2006
- 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
- Jean Adams
- Title
- President
- Phone
- (806) 367-6612
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 009669 | TX | Primary |
| Nursing Care Agency | 251J00000X | 009669 | TX | |
| In Home Supportive Care Agency | 253Z00000X | 009669 | TX | |
| Personal Care Attendant | 3747P1801X | 009669 | TX | |
| Respite Care | 385H00000X | 009669 | TX |
Addresses
Primary practice location
1612 S Van Buren St
Amarillo, TX 79102
Mailing address
1612 S Van Buren St
Amarillo, TX 79102-3033
Phone (806) 367-6612
Other practice location 1
5225 S Loop 289 Ste 126
Lubbock, TX 79424-1547
Phone (806) 368-5851
Other practice location 2
1250 E Cliff Dr Ste 5C
El Paso, TX 79902-4845
Phone (915) 955-9797
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172663001 | Other | TX | TPI NUMBER FOR TMHP |
| 009669 | Medicaid | TX | |
| 172663003 | Other | TX | TPI NUMBER FOR TMHP |
| 172663005 | Other | TX | TPI NUMBER FOR TMHP |
Other names 1
- Childrens Home Healthcare
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1043535 | DJK Home Healthcare LLC | Certificate of waiver | Jul 26, 2027 |
| 45D2119957 | DJK Home Healthcare,LLC | Certificate of waiver | Oct 5, 2026 |
| 45D2318058 | DJK Home Healthcare LLC | Certificate of waiver | Feb 3, 2027 |
National Provider Directory
National Provider DirectoryLocations
1250 E Cliff Dr
Ste 5C
El Paso, TX 79902
Phone (915) 955-9797
5225 S Loop 289
Ste 126
Lubbock, TX 79424
Phone (806) 368-5851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737417600000",
"number": "1942375191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 S VAN BUREN ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791023033",
"telephone_number": "806-367-6612",
"fax_number": "806-367-7148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 S VAN BUREN ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "79102",
"telephone_number": "806-367-6612",
"fax_number": "806-367-7148"
}
],
"practiceLocations": [
{
"address_1": "5225 S Loop 289 Ste 126",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794241547",
"country_code": "US",
"telephone_number": "806-368-5851",
"fax_number": "806-368-7065",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1250 E Cliff Dr Ste 5C",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799024845",
"country_code": "US",
"telephone_number": "915-955-9797",
"fax_number": "915-955-9557",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DJK HOME HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-22",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A",
"authorized_official_last_name": "ADAMS",
"authorized_official_first_name": "JEAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "806-367-6612"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "009669",
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "TX",
"license": "009669",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "TX",
"license": "009669",
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": "TX",
"license": "009669",
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "TX",
"license": "009669",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TPI NUMBER FOR TMHP",
"identifier": "172663001",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009669",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TPI NUMBER FOR TMHP",
"identifier": "172663003",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TPI NUMBER FOR TMHP",
"identifier": "172663005",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Childrens Home Healthcare",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Childrens Home Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.