Jaque Home

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

JAQUE HOME

Practice address

10506 Twilight Moon Dr
Houston, TX 77064-4208

Phone

(832) 785-3212

NPI assigned

Feb 10, 2023

Organization subpart

No

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

Authorized official

Name

Kevin Mattix

Title

Assistance

Phone

(832) 785-3212

Specialties & licenses 1

Addresses

Other names 1

• Sandra Mattix Former legal business name

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1972200814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10506 TWILIGHT MOON DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770644208",
            "telephone_number": "832-785-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10506 TWILIGHT MOON DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770644208",
            "telephone_number": "832-785-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAQUE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "MATTIX",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "ASSISTANCE",
        "authorized_official_telephone_number": "832-785-3212"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandra Mattix",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jansen Medical Supply, LLC
• Jennifer Jansen, PHD
• Christopher Janssen
• Yoka Janssen, NP
• Rachel Elizabeth Jantea, M.D.
• Samantha Jaques
• Carlos Michael Jaquez, MD
• David Enrique Jaramillo, D.D.S.
• Mariana Jaramillo
• Melissa Fabiola Jaramillo

• Home Health Agency in Houston, TX
• Providers in Houston, 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 Feb 10, 2023; 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.