MICHELLE'S CARE HOME (NPI# 1609236025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609236025 |
| Entity Type | Organization |
| Organization Name | MICHELLE'S CARE HOME |
| Other Organization Name | JM MCCLELLAN PROPERTIES |
| Practice Address |
1310 Poplar St Jourdanton TX 78026-2239 |
| Practice Telephone | 8307673082 |
| Practice Fax Number | 8307673082 |
| Mailing Telephone | 8307673082 |
| Mailing Fax Number | 8307673082 |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-05-26 |
| Authorized Official Name | JERRY MCCLELLAN (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 3616586986 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 144279 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 612708747 | 05 |
| Other Name | Type Code |
|---|---|
| JM McClellan Properties | Doing Business As Name - Organization |
| Street Address |
1310 POPLAR ST |
| City | JOURDANTON |
| State | TX |
| Zip Code | 78026-2239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568678688 | Julia Walden | Assisted Living Facility | 1310 Poplar St, Jourdanton, TX 78026 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033689815 | Tiffany Rose Mitchell | Physical Therapy Assistant | 1504 Tx-97e, Jourdanton, TX 78026 | 2018-12-05 |
| 1184864829 | Jesus Sanchez Ortiz | Contractor | 1909 Mcdowell Avenue, Jourdanton, TX 78026 | 2009-02-20 |
| 1801938121 | Advanced Obgyn Care of South Texas | Obstetrics & Gynecology | 1901 Hwy 97 E, Ste 230, Jourdanton, TX 78026 | 2007-02-13 |
| 1013981448 | Anie A Cherian | Podiatrist | 180 County Road 300, Jourdanton, TX 78026 | 2006-02-14 |
| 1346862695 | Megan Shearrer Martin | Pharmacist | 1905 E State Highway 97, Jourdanton, TX 78026-1504 | 2020-05-09 |
| 1891017844 | Atascosa Emergency Medicine Associates Pa | Physician Assistant | 1905 Hwy 97 E, Jourdanton, TX 78026-1504 | 2010-02-18 |
| 1033199542 | Patricio T Villarreal | Emergency Medicine | 1905 Highway 97 E, Emergency Room, Jourdanton, TX 78026-1504 | 2006-01-19 |
| 1922511906 | Tx-i Medical Services Pa | Physician Assistant | 1905 Highway 97 E, Jourdanton, TX 78026-1504 | 2017-11-13 |
| 1679086649 | Remington Emergency Physicians Pllc | Emergency Medicine | 1905 Highway 97 E, Jourdanton, TX 78026-1504 | 2017-11-13 |
| 1730692799 | Hennessey Inpatient Services Pllc | Hospitalist | 1905 Highway 97 E, Jourdanton, TX 78026-1504 | 2017-11-13 |
| Find all providers in zip 78026 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568678688 | Julia Walden | Assisted Living Facility | 1310 Poplar St, Jourdanton, TX 78026 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507690 | Bolville LLC | Assisted Living Facility | 9898 Bissonnet St Ste 419, Houston, TX 77036-8025 | 2020-10-30 |
| 1548860067 | Zenith Care Inc | Assisted Living Facility | 1513 Baffin Bay Dr, Plano, TX 75075-2203 | 2020-10-26 |
| 1003415712 | Valarie C Williams | Assisted Living Facility | 2019 Greenwest Dr, Missouri City, TX 77489-4043 | 2020-10-23 |
| 1902404791 | Heritage Retreat Management Group, Inc. | Assisted Living Facility | 7105 Hot Creek Trce, Humble, TX 77346-3098 | 2020-10-13 |
| 1255939104 | Rance Carrington | Assisted Living Facility | 1137 W California St, Seymour, TX 76380-1552 | 2020-10-13 |
| 1083212211 | Neighbors Care, LLC | Assisted Living Facility | 3906 Everett Terrace Ln, Missouri City, TX 77459-1888 | 2020-10-10 |
| 1598362840 | Golden Age Home Care | Assisted Living Facility | 12706 Mutiny Ln, Tomball, TX 77377-8420 | 2020-10-08 |
| 1164038253 | Residential Senior Care (rsc) | Assisted Living Facility | 8040 Honeywood Trial, Port Arthur, TX 77642 | 2020-09-23 |
| 1548874670 | A Compassionate Assisted Living LLC | Assisted Living Facility | 1008 Springbrook Dr, Desoto, TX 75115-3944 | 2020-09-04 |
| 1679187975 | Arc Willowbrook, LLC | Assisted Living Facility | 7450 Willow Chase Blvd, Houston, TX 77070-5867 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
| City | JOURDANTON |
| Zip Code | 78026 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.