Active NPI
Jenesys Home Care Atlanta
- Home Health Agency
- Atlanta, GA
National Provider Identifier
1003348707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- JENESYS HOME CARE ATLANTA
- Practice address
- 3464 Roxboro Rd NE
Unit 1110
Atlanta, GA 30326-1317 - Phone
- (757) 419-6153
- Fax
- (757) 420-0599
- NPI assigned
- Mar 31, 2017
- Organization subpart
- Yes
- Parent organization
- JENESYS HOME HEALTH CARE SERVICES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shante Hall
- Title
- Ceo
- Phone
- (757) 420-0566
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
3464 Roxboro Rd NE
Unit 1110
Atlanta, GA 30326-1317
Mailing address
1403 Greenbrier Pkwy Ste 100
Chesapeake, VA 23320-2876
Phone (757) 420-0566
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245574284 | Medicaid | VA | |
| 1841722600 | Medicaid | VA |
National Provider Directory
National Provider Directory- Tax ID family
- Jenesys Home Care Atlanta
- Part of
- Jenesys Home Care Atlanta
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Smithfield, VA
- NPI 1841722600
-
- Home Health Agency
- Chesapeake, VA
- NPI 1245574284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490918400000",
"number": "1003348707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1403 GREENBRIER PKWY STE 100",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233202876",
"telephone_number": "757-420-0566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3464 ROXBORO RD NE",
"address_2": "UNIT 1110",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303261317",
"telephone_number": "757-419-6153",
"fax_number": "757-420-0599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENESYS HOME CARE ATLANTA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JENESYS HOME HEALTH CARE SERVICES INC",
"enumeration_date": "2017-03-31",
"last_updated": "2017-03-31",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "SHANTE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "757-420-0566"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245574284",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1841722600",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.