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J-SHALOM HOME HEALTH SERVICES
NPI 1669615068
Home Health in Mesquite, TX

Active since April 14, 2009CLIA 45D1099408 · Waiver
1416 JUNCTION RUN, MESQUITE, TX 75181(469) 592-2669(972) 591-4589 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 7, 2023, Sep 22, 2020, Dec 19, 2018 (3 updates tracked since 2018).

About J-shalom Home Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

J-SHALOM HOME HEALTH SERVICES (NPI 1669615068) is a healthcare organization registered as a home health in Mesquite, Texas and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through May 11, 2027 and lists Okunbor Alfred-iyamu, Owner, as its authorized official.

NPPES Registry Identity

NPI1669615068
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameJ-SHALOM HOME HEALTH SERVICES INC
Location Address1416 JUNCTION RUNMesquite, TX 75181-4409
Mailing Address1416 Junction RunMesquite, TX 75181-4409 · (469) 592-2669 · Fax (972) 591-4589
Phone(469) 592-2669
Fax(972) 591-4589
Organization SubpartNo
Authorized OfficialOkunbor Alfred-iyamuOwner · (469) 592-2669
Enumeration DateApril 14, 2009
Last NPPES UpdateAugust 7, 20233 updates tracked since enumeration
NPPES CertifiedAugust 7, 2023
✔ NPI 1669615068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition

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.

Also ListedNursing CareTaxonomy 251J00000X
Also ListedTechnician · Attendant Care ProviderTaxonomy 3747A0650X
Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X
Also ListedRespite CareTaxonomy 385H00000X
1416 JUNCTION RUN, Mesquite, TX 75181
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Other Names 1

Doing Business AsJ-shalom Home Health Services

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1099408

J-Shalom Home Health Services, Inc · Mesquite, TX
Active · expires May 11, 2027
CLIA Number45D1099408
Laboratory TypeHome Health Agency
Certificate Effective DateMay 12, 2025
Certificate Expiration DateMay 11, 2027
Laboratory DirectorOkunbor Alfred-Iyamu
Laboratory Phone(972) 423-4145
Laboratory LocationJ-Shalom Home Health Services, Inc1416 Junction Run, Mesquite, TX 75181
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is J-SHALOM HOME HEALTH SERVICES INC's NPI number?

The NPI number assigned to this healthcare provider is 1669615068, enumerated as an "organization" on April 14, 2009.

Where is the provider located?

The provider is located at 1416 JUNCTION RUN MESQUITE, TX 75181 and the phone number is (469) 592-2669.

What is the provider's specialty?

Home Health with taxonomy code 251E00000X.