1851391502 NPI number — JHS OPERATIONS, LLC

Table of content: (NPI 1851391502)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851391502 NPI number — JHS OPERATIONS, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JHS OPERATIONS, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ELARA CARING
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851391502
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/30/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3010 LYNDON B JOHNSON FWY STE 1100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75234-2712
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
903-537-8656
Provider Business Mailing Address Fax Number:
903-537-8420

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
412 HWY 37 S STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOUNT VERNON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75457-6570
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
903-537-2445
Provider Business Practice Location Address Fax Number:
903-537-2394
Provider Enumeration Date:
07/22/2005

Additional Information

Authorized Official

Authorized Official Last Name:
MONASTIERE
Authorized Official First Name:
KATIE
Authorized Official Middle Name:
LYNN
Authorized Official Title or Position:
COMPLIANCE PRIVACY&SAFETY OFFICER
Authorized Official Telephone Number:
517-768-4373

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  008273 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 112899303 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: HH9512 . This is a "BCBS FOR MT. VERNON OFFIC" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: HH091H . This is a "BCBS FOR TYLER OFFICE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: HH8847 . This is a "BCBS FOR LONGVIEW OFFICE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: HH8836 . This is a "BCBS FOR PARIS OFFICE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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