Healthcare Provider Details

I. General information

NPI: 1295904365
Provider Name (Legal Business Name): JOAB HOME HEALTH AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2008
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 N CENTRAL EXPY STE 116
PLANO TX
75074-5486
US

IV. Provider business mailing address

2000 N CENTRAL EXPY STE 116
PLANO TX
75074-5486
US

V. Phone/Fax

Practice location:
  • Phone: 972-423-5606
  • Fax:
Mailing address:
  • Phone: 972-423-5606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MRS. SAFURATU O SALAMI
Title or Position: DIRECTOR OF NURSING
Credential: RN
Phone: 972-423-5606