JEFFERSON COUNTY ADULT DAY CENTER (NPI# 1801226675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801226675 |
| Entity Type | Organization |
| Organization Name | JEFFERSON COUNTY ADULT DAY CENTER |
| Practice Address |
3100 Gulfway Dr Port Arthur TX 77642-5056 |
| Mailing Address |
Po Box 1211 Port Arthur TX 77641-1211 |
| Practice Telephone | 4095496260 |
| Practice Fax Number | 4099857258 |
| Mailing Telephone | 4095496260 |
| Mailing Fax Number | 4099857258 |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2013-11-21 |
| Authorized Official Name | MS. SCHWANNA K. JOHNSON (DIRECTOR) |
| Authorized Official Telephone | 4095496260 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083945810 | Jefferson County Adult Day Center | Custodial Care Facility | 603 5th St, Port Arthur, TX 77640-6540 | 2010-01-19 |
| Street Address |
3100 GULFWAY DR |
| City | PORT ARTHUR |
| State | TX |
| Zip Code | 77642-5056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038253 | Residential Senior Care (rsc) | Assisted Living Facility | 8040 Honeywood Trial, Port Arthur, TX 77642 | 2020-09-23 |
| 1912547746 | Port Arthur Surgical Center, LLC | Clinic/Center | 3919 Twin City Hwy, Port Arthur, TX 77642 | 2020-01-09 |
| 1538533906 | Carolyn Williams | Nurse Practitioner | 8333 9th Ave Ste A, Port Arthur, TX 77642 | 2015-11-22 |
| 1003295312 | Peacock Heavenly Massage | Massage Therapist | 3800 Hwy 365, Regional Square, Port Arthur, TX 77642 | 2015-05-20 |
| 1346651718 | Bunrith Koy | Family Medicine | 3620 East Farm To Market Road 365, Port Arthur, TX 77642 | 2014-05-19 |
| 1679896534 | Jared Clark Mallory | Physical Therapist | 3398 25th Street, Port Arthur, TX 77642 | 2010-03-08 |
| 1750564902 | Isam N. Anabtawi | Family Medicine | 1750 9th Ave., Suite 202, Port Arthur, TX 77642 | 2007-12-11 |
| 1710179445 | Marian Tan Medical Group Ltd LLP | Pediatrics | 3220 Central Mall Drive, Port Arthur, TX 77642 | 2007-08-16 |
| 1497952253 | Waheeda Mithani | Surgery | 3820 Hwy. 365, Suite 200, Port Arthur, TX 77642 | 2007-06-27 |
| 1295939015 | Pamela Spencer Albacete | Speech-Language Pathologist | 7200 9th Ave., Port Arthur, TX 77642 | 2007-06-14 |
| Find all providers in zip 77642 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730644683 | Treasure Care LLC. | In Home Supportive Care | 3800 Highway 365 Ste 135, Port Arthur, TX 77642-7522 | 2019-02-05 |
| 1598216699 | Caretree Provider Services, LLC | In Home Supportive Care | 426 W Gulfway Dr, Port Arthur, TX 77640-3205 | 2016-10-24 |
| 1992197412 | Beach Bay and Tackle LLC Dba Home Care Provider Service | In Home Supportive Care | 3780 Martin Luther King Jr Dr, Port Arthur, TX 77640-6862 | 2015-02-20 |
| 1639509409 | Social Systems | In Home Supportive Care | 3008 Forest Ave, Port Arthur, TX 77642-5301 | 2013-11-15 |
| 1093056376 | Alternative Senior Care, Inc. | In Home Supportive Care | 5924 Reyna Ave, Port Arthur, TX 77640-2025 | 2013-03-11 |
| 1205226420 | Treasure Services Incorporated | In Home Supportive Care | 3800 Highway 365, Suite 139, Port Arthur, TX 77642-7526 | 2015-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275794 | Tonya Comaneci Barnes | In Home Supportive Care | 812 Savannah Cv, Elgin, TX 78621-1253 | 2020-11-04 |
| 1487255733 | Providing Providers LLC | In Home Supportive Care | 2130 Alexandra Ct, Brownsville, TX 78521-7677 | 2020-11-03 |
| 1316548787 | Stephanie Rodgers | In Home Supportive Care | 938 Hawberry Heights Rd, Richmond, TX 77406-7223 | 2020-11-03 |
| 1518568922 | Dignified Care, LLC | In Home Supportive Care | 6418 Eckhert Rd Apt 3203, San Antonio, TX 78240-3097 | 2020-11-03 |
| 1093315913 | Pink Scrubs Home Health Agency LLC | In Home Supportive Care | 10815 Baucum Rd, Waxahachie, TX 75167-7614 | 2020-10-29 |
| 1164022034 | Saint Michael's Home Health Care LLC | In Home Supportive Care | 1132 Champlain Dr, Brownsville, TX 78526-1246 | 2020-10-29 |
| 1477153682 | Juan Miguel Torres | In Home Supportive Care | 745 E Saint Charles St Ste A, Brownsville, TX 78520-5219 | 2020-10-27 |
| 1518566322 | Omni Home Care Agency LLC | In Home Supportive Care | 8008 Splitrail Ct, Arlington, TX 76002-4488 | 2020-10-22 |
| 1558960724 | St Joseph's Adult Healthcare | In Home Supportive Care | 15801 Chase Hill Blvd Apt 705, San Antonio, TX 78256-1039 | 2020-10-20 |
| 1679172902 | Cam's Care LLC | In Home Supportive Care | 344 E Louisiana St, Mckinney, TX 75069-4334 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | PORT ARTHUR |
| Zip Code | 77642 |
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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.