Provider Demographics
NPI:1407929318
Name:AMERICAN HEALTH CARE CONCEPTS, INC
Entity Type:Organization
Organization Name:AMERICAN HEALTH CARE CONCEPTS, INC
Other - Org Name:JK HOME HEALTH SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:
Authorized Official - Last Name:CRISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-329-3900
Mailing Address - Street 1:609 N EBRITE ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-3478
Mailing Address - Country:US
Mailing Address - Phone:972-329-3900
Mailing Address - Fax:972-329-3903
Practice Address - Street 1:609 N EBRITE ST
Practice Address - Street 2:SUITE 103
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-3478
Practice Address - Country:US
Practice Address - Phone:972-329-3900
Practice Address - Fax:972-329-3903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009373251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX457980Medicare ID - Type UnspecifiedPROVIDER NUMBER