GENUINE QUEENS JCL CARE (NPI# 1174971865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174971865 |
| Entity Type | Organization |
| Organization Name | GENUINE QUEENS JCL CARE |
| Other Organization Name | GENUINE QUEENA JCL CARE |
| Practice Address |
3730 S Loop 1604 E San Antonio TX 78264-9551 |
| Mailing Address |
Po Box 10306 San Antonio TX 78210-0306 |
| Practice Telephone | 2106495653 |
| Mailing Telephone | 2106495653 |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-03 |
| Authorized Official Name | MISS LKIENDRIA TRISCHUAN JOHNSON (OWNER) |
| Authorized Official Telephone | 2106495653 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251T00000X | PACE Provider Organization | Agencies |
| Other Name | Type Code |
|---|---|
| GENUINE QUEENA JCL CARE | Doing Business As Name - Organization |
| Street Address |
3730 S LOOP 1604 E |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78264-9551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609192459 | Nhi Balhorn | Pharmacist | 1 Lone Star Pass Building 46, San Antonio, TX 78264 | 2010-04-19 |
| 1578949442 | Stephanie Md Aguilar | Optometrist | 1 Lone Star Pass Ste 46, San Antonio, TX 78264 | 2015-08-03 |
| 1710282850 | Terrence Lynn Morehouse | Physician Assistant | 1 Lone Star Pass, San Antonio, TX 78264-3413 | 2011-01-21 |
| 1649458589 | Dolly Thomas | Psychologist | 3850 S Loop 1604 W, Suite 7, San Antonio, TX 78264-3418 | 2008-02-01 |
| 1548271851 | Michelle A Beninato | Nurse Practitioner | 1 Lone Star Pass, Bldg 46, San Antonio, TX 78264-3638 | 2006-08-11 |
| 1588013551 | Progressivehealth, LLC | Clinic/Center | 1 Lone Star Pass, San Antonio, TX 78264-3638 | 2016-06-09 |
| 1336501840 | Jessica Rae Arizola | Physical Therapy Assistant | 1 Lone Star Pass, Bldg 46, San Antonio, TX 78264-3638 | 2016-03-23 |
| 1578891883 | Mary A Ramos | Pharmacist | 1 Lone Star Pass, Bldg 46, San Antonio, TX 78264-3638 | 2009-11-24 |
| 1487802989 | Carolyn Perez | Physical Therapy Assistant | 1 Lone Star Pass, Building 46, San Antonio, TX 78264-3638 | 2008-09-09 |
| 1578736179 | Bethany S Gardner | Occupational Therapist | 1 Lone Star Pass, Bldg 46, San Antonio, TX 78264-3638 | 2008-04-04 |
| Find all providers in zip 78264 | ||||
| Taxonomy Code | 251T00000X |
| Grouping | Agencies |
| Classification | PACE Provider Organization |
| A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. |
| Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821465204 | Affordable Venture Home Healthcare LLC | PACE Provider Organization | 8626 Tesoro Dr Ste 205g, San Antonio, TX 78217-6217 | 2015-09-01 |
| 1962780577 | Hugs Home Health | PACE Provider Organization | 1431 Cable Ranch Rd, San Antonio, TX 78245-2157 | 2011-07-30 |
| 1871811596 | Acp Primary Home Care | PACE Provider Organization | 10507 Country Flower, San Antonio, TX 78240-4450 | 2010-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689212961 | Gregory Wayne Mcafee Jr. | PACE Provider Organization | 7216 Mallard Dr, Texas City, TX 77591-3616 | 2019-12-17 |
| 1720559289 | Sweet Care Home Care Providers LLC | PACE Provider Organization | 7917 Sunmount Dr, El Paso, TX 79925 | 2018-12-10 |
| 1700373966 | Nathalia White Shanetta White | PACE Provider Organization | 240 W Galveston St Unit 417, League City, TX 77574-0849 | 2018-04-13 |
| 1942717012 | Wayfinders Day Habilitations & Respite Care | PACE Provider Organization | 4611 W Walnut St, Pearland, TX 77581-3967 | 2018-01-10 |
| 1154833184 | Operation Advantage Inc. | PACE Provider Organization | 2747 Point Vw, Cedar Hill, TX 75104-6936 | 2017-10-31 |
| 1275069478 | Jeffrey Joe Young | PACE Provider Organization | 2129 Green Lee Lane, Dickinson, TX 77539-5152 | 2017-05-08 |
| 1417308966 | Good Grace Provider Service | PACE Provider Organization | 15155 Richmond Ave Apt 833, Houston, TX 77082-1637 | 2016-06-27 |
| 1184072118 | Philia Interpreting Agency | PACE Provider Organization | 701 Mesquite St, Abilene, TX 79601-5220 | 2016-05-31 |
| 1710331913 | Heritage Developmental Care LLC | PACE Provider Organization | 9465 Clearwood Dr, Apt 324, Houston, TX 77075-4059 | 2016-04-14 |
| 1568870210 | Donna Sitting Service LLC | PACE Provider Organization | 822 Lexington Dr, Lancaster, TX 75134-2412 | 2014-07-25 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78264 |
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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.