Organization Active NPI

Jay T Homecare Services LLC

  • Licensed Practical Nurse
  • Garfield Heights, OH
National Provider Identifier
1033894118
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
Legal business name
JAY T HOMECARE SERVICES LLC
Practice address
12904 Christine Ave
Garfield Heights, OH 44105-7036
Phone
(216) 324-9261
NPI assigned
Jun 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Authorized official

Name
Tania ShurnNPI 1326447947
Title
Owner/Ceo
Phone
(216) 324-9261

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X Primary

Addresses

Primary practice location

12904 Christine Ave
Garfield Heights, OH 44105-7036

Mailing address

12904 Christine Ave
Garfield Heights, OH 44105-7036
Phone (216) 324-9261

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1033894118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12904 CHRISTINE AVE",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441057036",
            "telephone_number": "216-324-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12904 CHRISTINE AVE",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441057036",
            "telephone_number": "216-324-9261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY T HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "SHURN",
        "authorized_official_first_name": "TANIA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "216-324-9261"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.