SRC HOME CARE JC INC (NPI# 1790238764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790238764 |
Entity Type | Organization |
Organization Name | SRC HOME CARE JC INC |
Other Organization Name | RIGHT AT HOME- JOSHUA |
Practice Address |
474 North Broadway Suite B Joshua TX 76058 |
Mailing Address |
3012 Running Brook Dr Joshua TX 76058-5756 |
Practice Telephone | 8173133169 |
Mailing Telephone | 8173133169 |
Enumeration Date | 2016-07-26 |
Last Update Date | 2016-07-26 |
Authorized Official Name | MS. SHARLOTTA KAY CONNALLY (PRESIDENT) |
Authorized Official Telephone | 8173133169 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251E00000X | Home Health | TX | Agencies |
Other Name | Type Code |
---|---|
Right At Home- Joshua | Doing Business As Name - Organization |
Street Address |
474 NORTH BROADWAY SUITE B |
City | JOSHUA |
State | TX |
Zip Code | 76058 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558746743 | Tamir Saleem | Contractor | 6012 Black Springs Lane, Joshua, TX 76058 | 2015-07-29 |
1538407416 | Brookshire Grocery Company | Pharmacy | 1001 Joshua Station Boulevard, Joshua, TX 76058 | 2013-01-28 |
1104977917 | Russell Daniel Gardner | Pharmacist | 3521 B Sw Wilshire, Joshua, TX 76058 | 2007-01-16 |
1598375446 | Nelida Alejandra Arevalo-braddick | Nurse Practitioner | 110 Scarlet Oaks Dr, Joshua, TX 76058-1858 | 2020-08-05 |
1508868449 | Joseph John Thomas | Chiropractor | 332 N Broadway St, Joshua, TX 76058-3047 | 2005-08-11 |
1558782979 | Joshua Spine and Health Center, PC | Chiropractor | 332 N Broadway St, Joshua, TX 76058-3047 | 2014-01-03 |
1366699688 | Cgc Health Solutions Inc | Chiropractor | 332 N Broadway St, Joshua, TX 76058-3047 | 2008-08-19 |
1508871377 | Raja Saade, Md Pa | Family Medicine | 201 N Broadway St, Joshua, TX 76058-3066 | 2006-07-30 |
1912315045 | North Texas Heart & Vascular Pllc | Internal Medicine | 201 N Broadway St, Joshua, TX 76058-3066 | 2014-08-01 |
1508879875 | Janice J Bradley | Nurse Practitioner | 201 N Broadway St, Joshua, TX 76058-3066 | 2006-08-15 |
Find all providers in zip 76058 |
Taxonomy Code | 251E00000X |
Grouping | Agencies |
Classification | Home Health |
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487255394 | Flor De La Fe Home Health LLC | Home Health | 4804 Beaver Pond Dr, Brownsville, TX 78520-9225 | 2020-11-06 |
1700487527 | Nursing Companion Healthcare Services LLC | Home Health | 20115 Stanton Lake Dr, Cypress, TX 77433-2677 | 2020-11-06 |
1659972818 | Senior Care of North Texas LLC | Home Health | 113 N Commerce St Ofc B, Gainesville, TX 76240-3911 | 2020-11-04 |
1174124283 | Natasha Monique Miller | Home Health | 2503 Via Venicia Apt 3223, Fort Worth, TX 76109-6535 | 2020-11-04 |
1093316499 | Gold Standard Therapy, Pllc | Home Health | 102 Salinas Cv, Austin, TX 78738-1781 | 2020-11-03 |
1114528569 | Cedar Care LLC. | Home Health | 10906 Giffnock Dr, Richmond, TX 77407-1553 | 2020-11-03 |
1326648122 | Airmid Wellness Inc | Home Health | 9931 Chimney Swift Ln, Conroe, TX 77385-3838 | 2020-10-29 |
1003416009 | Healthwork Global Inc | Home Health | 9522 Matilda Creek Ct, Richmond, TX 77407-2519 | 2020-10-28 |
1982204327 | Kevin D Miller | Home Health | 4429 Sahara Pl, Fort Worth, TX 76115-3653 | 2020-10-26 |
1265032692 | Bless It Hands Residential Care LLC. | Home Health | 2122 Monteleon St, Grand Prairie, TX 75051-4169 | 2020-10-26 |
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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.