JENNIFER'S HOME
NPI 1902139892
Custodial Care Facility - Adult Care Home in Elmendorf, TX

Active since September 10, 2009
7616 RICHTER RD, ELMENDORF, TX 78112(210) 251-2312 Get Directions Write a Review

NPPES record last updated: September 10, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Custodial Care Facility
  • Adult Care Home

About JENNIFER'S HOME

This page provides the complete NPI Profile along with additional information for Jennifer's Home, a provider established in Elmendorf, Texas operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1902139892 assigned on September 2009. The practitioner's primary taxonomy code is 311ZA0620X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mrs. Jennifer Ann Tracy (Owner)

NPI
1902139892 Verify this NPI
Provider Name
JENNIFER'S HOME
Entity Type
Organization
Location Address
7616 RICHTER RD ELMENDORF, TX 78112
Location Phone
(210) 251-2312
Mailing Address
7616 RICHTER RD ELMENDORF, TX 78112
Mailing Phone
(210) 251-2312
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-10-2009
Last Update Date
09-10-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. JENNIFER ANN TRACY

Authorized Official Title
OWNER
Authorized Official Phone
(210) 251-2312

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902139892, enumerated as an "organization" on September 10, 2009.

The provider is located at 7616 RICHTER RD ELMENDORF, TX 78112 and the phone number is (210) 251-2312.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.