Organization Active NPI

Jenesys Home Care Atlanta

  • Home Health Agency
  • Atlanta, GA
National Provider Identifier
1003348707
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1245574284MedicaidVA
1841722600MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Jenesys Home Care Atlanta3 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.