Organization Active NPI

MCH of Corpus Christi, Inc.

  • Home Health Agency
  • Corpus Christi, TX
National Provider Identifier
1962492108
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
003457 Issued in TX
Legal business name
MCH OF CORPUS CHRISTI, INC.
Practice address
4455 S Padre Island Dr
Corpus Christi, TX 78411-5143
Phone
(361) 851-7250
Fax
(361) 851-1175
NPI assigned
Oct 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Nancy C Jakus, RN BSN MBA
Title
Vice President of Operations
Phone
(601) 268-1842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 003457 TX Primary

Addresses

Primary practice location

4455 S Padre Island Dr
Corpus Christi, TX 78411-5143

Mailing address

PO Box 16809
Hattiesburg, MS 39404-6809
Phone (601) 268-1842

Other names 1

  • Deaconess HomeCare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Deaconess Homecare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962492108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16809",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394046809",
            "telephone_number": "601-268-1842",
            "fax_number": "601-268-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 S PADRE ISLAND DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115143",
            "telephone_number": "361-851-7250",
            "fax_number": "361-851-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCH OF CORPUS CHRISTI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAKUS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "601-268-1842",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN BSN MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "003457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deaconess HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.