Tyler Community Home Care, LLC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

TYLER COMMUNITY HOME CARE, LLC

Practice address

11930 Gillian Court
Tyler, TX 75703

Phone

(903) 871-5093

NPI assigned

Jan 8, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Shamonica JarjuNPI 1912623000

Title

Ceo, Administrator

Phone

(903) 330-9625

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shamonica Denise Jarju

  • Case Manager/Care Coordinator
  • Tyler, TX
  • NPI 1912623000
  NPD Authorized official

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1972373017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 ESE LOOP323 # 220",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018337",
            "telephone_number": "903-871-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11930 GILLIAN COURT",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75703",
            "telephone_number": "903-871-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER COMMUNITY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "JARJU",
        "authorized_official_first_name": "SHAMONICA",
        "authorized_official_title_or_position": "CEO, ADMINISTRATOR",
        "authorized_official_telephone_number": "903-330-9625",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tyler Carerx LLC
• Tyler Center for Dental Health, PLLC
• Tyler Chiropractic, Inc
• Tyler Counseling & Assessment Center
• Tyler Counseling Services LLC
• Tyler Denture Pros, PLLC
• Tyler Dentures and Dental Implants
• Tyler Endodontics, PLLC

• Case Manager/Care Coordinator in Tyler, TX
• Providers in Tyler, TX by specialty
• Case Manager/Care Coordinator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.