Active NPI
Jasmine J Joiner
- Adult Companion
- Black Jack, MO
National Provider Identifier
1043786494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- 83-1342409
- Practice address
- 12350 Centerbrook Dr
Black Jack, MO 63033-7314 - Phone
- (314) 755-0287
- NPI assigned
- Oct 23, 2018
- Last updated
- Oct 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | 83-1342409 | MO | Primary |
Addresses
Primary practice location
12350 Centerbrook Dr
Black Jack, MO 63033-7314
Mailing address
12350 Centerbrook Dr
Black Jack, MO 63033-7314
Phone (314) 755-0287
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83-1342409 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pure Hearts Homecare LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Black Jack, MO
- NPI 1992266407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540252800000",
"number": "1043786494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12350 CENTERBROOK DR",
"city": "BLACK JACK",
"state": "MO",
"postal_code": "630337314",
"telephone_number": "314-755-0287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12350 CENTERBROOK DR",
"city": "BLACK JACK",
"state": "MO",
"postal_code": "630337314",
"telephone_number": "314-755-0287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOINER",
"first_name": "JASMINE",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-23",
"last_updated": "2018-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "MO",
"license": "83-1342409",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "83-1342409",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Black Jack, MO
- Infinity Health Solutions, LLC
- J & S Complete Health Care IHS LLC
- J & S's Complete Health Care LLC
- Raquel Jenkins
- Wanda Lee Johnson, RN
- Kam Quality Home Care, LLC
- L&L Collective LLC (Bi-State Medical Transport)
- Lesmorgan Home Healthcare Services LLC
- Living Waters CDS, LLC
- Long Term Care of North County LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.