Organization Active NPI

Jefferson Holdings Management Inc.

  • Assisted Living Facility
  • Jefferson, TX
National Provider Identifier
1013108356
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
JEFFERSON HOLDINGS MANAGEMENT INC.
Practice address
100 W Douglas St
Jefferson, TX 75657-1206
Phone
(903) 665-9855
Fax
(903) 665-6809
NPI assigned
Aug 1, 2007
Last updated
Aug 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jill Mary Lentini
Title
Director/Secretary
Phone
(469) 293-0002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

100 W Douglas St
Jefferson, TX 75657-1206

Mailing address

100 W Douglas St
Jefferson, TX 75657-1206
Phone (903) 665-9855

National Provider Directory

National Provider Directory

Locations

100 W Douglas St
Jefferson, TX 75657
Phone (903) 665-9855

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1013108356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W DOUGLAS ST",
            "city": "JEFFERSON",
            "state": "TX",
            "postal_code": "756571206",
            "telephone_number": "903-665-9855",
            "fax_number": "903-665-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W DOUGLAS ST",
            "city": "JEFFERSON",
            "state": "TX",
            "postal_code": "756571206",
            "telephone_number": "903-665-9855",
            "fax_number": "903-665-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON HOLDINGS MANAGEMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "LENTINI",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR/SECRETARY",
        "authorized_official_telephone_number": "469-293-0002",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.