Healthcare Provider Details

I. General information

NPI: 1932595774
Provider Name (Legal Business Name): JNI HEALTHCARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2015
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7265 RETRIEVER LN
FORT WORTH TX
76120-1629
US

IV. Provider business mailing address

7265 RETRIEVER LN
FORT WORTH TX
76120-1629
US

V. Phone/Fax

Practice location:
  • Phone: 682-556-0305
  • Fax: 817-851-1150
Mailing address:
  • Phone: 682-556-0305
  • Fax: 817-851-1150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateTX

VIII. Authorized Official

Name: NENGIYA IHUA-SWIFT
Title or Position: OWNER
Credential: RN
Phone: 682-556-0305