Organization Active NPI

J&M Adult Homecare

  • Adult Care Home Facility
  • Poughkeepsie, NY
National Provider Identifier
1033399779
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
560425-1 Issued in NY
Legal business name
J&M ADULT HOMECARE
Practice address
134 Innis Ave
Apt P09
Poughkeepsie, NY 12601-2800
Phone
(845) 454-6171
NPI assigned
Nov 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Miss Jheannell Aleisha Reid, RN
Title
Registered Nurse
Phone
(845) 454-6171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 560425-1 NY Primary

Addresses

Primary practice location

134 Innis Ave
Apt P09
Poughkeepsie, NY 12601-2800

Mailing address

134 Innis Ave
Apartment P09
Poughkeepsie, NY 12601-2800
Phone (845) 454-6171

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1033399779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 INNIS AVE",
            "address_2": "APARTMENT P09",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126012800",
            "telephone_number": "845-454-6171",
            "fax_number": "845-454-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 INNIS AVE",
            "address_2": "APT P09",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126012800",
            "telephone_number": "845-454-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&M ADULT HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "JHEANNELL",
        "authorized_official_middle_name": "ALEISHA",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "845-454-6171",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NY",
            "license": "560425-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.