CQ Home Health Acquisition Holdings LP

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

009382 Issued in TX

Legal business name

CQ HOME HEALTH ACQUISITION HOLDINGS LP

Doing business as

Jordan Health Services

Practice address

1101 Brook Ave
Wichita Falls, TX 76301-5008

Phone

(940) 761-6191

Fax

(940) 761-6194

NPI assigned

Aug 12, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Carla Herrera

Title

Billing Manager

Phone

(903) 537-8629

Specialties & licenses 1

Addresses

Other names 1

• Jordan Health Services Doing business as

Locations

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1952313819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1387",
            "address_2": "412 HWY 37 SOUTH",
            "city": "MOUNT VERNON",
            "state": "TX",
            "postal_code": "754571387",
            "telephone_number": "903-537-8629",
            "fax_number": "903-537-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015008",
            "telephone_number": "940-761-6191",
            "fax_number": "940-761-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CQ HOME HEALTH ACQUISITION HOLDINGS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "903-537-8629",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jordan Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Shea Cox, OT
• Natalie Gail Cox, SLP
• Stephanie Cox
• April Coxon, RN
• Patrick Vincent Coyle, LPC
• Shari Craig
• Shelli Renee Craig, PMHNP
• Robert Cramer II, PT, DPT
• Shelley Renae Crampton, MA, LPC
• Marlene Bea Crane, CNP

• Home Health Agency in Wichita Falls, TX
• Providers in Wichita Falls, 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 24, 2016; 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.