JAP CARE, INC NPI 1679195523

Home Health in Grand Prairie, TX

NPI 1679195523 Organization Home Health CLIA Number 45D2194222 CLIA Certificate of Waiver

About JAP CARE, INC

Jap Care, Inc is a provider established in Grand Prairie, Texas specializing in home health. The NPI number of Jap Care, Inc is 1679195523 and was assigned on May 2020. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Augustine Fombon (President)

The CLIA number of Jap Care, Inc is 45D2194222 registered as a "home health agency" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Jap Care, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1679195523

Provider NameJAP CARE, INC
Provider Location Address601 S GREAT SOUTHWEST PKWY STE 106 GRAND PRAIRIE, TX 75051
Provider Mailing Address2812 WESTOVER DR GRAND PRAIRIE, TX 75052
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-14-2020
Last Update Date05-14-2020


Primary Taxonomy

Taxonomy Code251E00000X
ClassificationHome Health
TypeAgencies
Taxonomy DescriptionA 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.

Business Address

JAP CARE, INC
601 S GREAT SOUTHWEST PKWY STE 106
GRAND PRAIRIE, TX
ZIP 75051
Phone: (214) 412-2528

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Mailing Address

JAP CARE, INC
2812 WESTOVER DR
GRAND PRAIRIE, TX
ZIP 75052
Phone:



Authorized Official

Authorized Official Name AUGUSTINE FOMBON
Authorized Official TitlePRESIDENT
Authorized Official Phone(214) 718-9593

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1679195523 is:

CLIA Number45D2194222
Facility TypeHOME HEALTH AGENCY
Certificate TypeCertificate of Waiver

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1253Z00000XAgenciesIn Home Supportive CareNo

Taxonomy Description: 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.

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922650100 DIVINE LOVALA KUJA
Individual
Physical Therapist601 S GREAT SOUTHWEST PKWY STE 106
GRAND PRAIRIE, TX 75051
(214) 412-2528
1710537022JAP PHYSICAL THERAPY
Organization
Clinic/Center (Physical Therapy)601 S GREAT SOUTHWEST PKWY STE 106
GRAND PRAIRIE, TX 75051
(214) 419-2528
1851919369JAP CLINIC INC
Organization
Clinic/Center (Physical Therapy)601 S GREAT SOUTHWEST PKWY STE 106
GRAND PRAIRIE, TX 75051
(214) 718-9593
1033754890 AUGUSTINE NUBEA FOMBON
Individual
Clinic/Center (Physical Therapy)601 S GREAT SOUTHWEST PKWY STE 106
GRAND PRAIRIE, TX 75051
(214) 718-9593

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.