Organization Active NPI

JC Homelife, Inc.

  • Developmentally Disabled Services Day Training Agency
  • North Chesterfield, VA
National Provider Identifier
1063799807
Registry record updated Feb 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
JC HOMELIFE, INC.
Practice address
7227 Iron Bridge Rd
North Chesterfield, VA 23234-5923
Phone
(804) 869-6155
Fax
(804) 714-1356
NPI assigned
Nov 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2022

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

Authorized official

Name
Mr. John Netto
Title
Administrator
Phone
(804) 869-6155

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 1447-01-011 VA

Addresses

Primary practice location

7227 Iron Bridge Rd
North Chesterfield, VA 23234-5923

Mailing address

PO Box 1600
Chesterfield, VA 23832-9125
Phone (804) 869-6155

National Provider Directory

National Provider Directory
Tax ID family
JC Homelife Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7227 Iron Bridge Rd
North Chesterfield, VA 23234
Phone (804) 869-6155

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645228800000",
    "number": "1063799807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1600",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238329125",
            "telephone_number": "804-869-6155",
            "fax_number": "804-714-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7227 IRON BRIDGE RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232345923",
            "telephone_number": "804-869-6155",
            "fax_number": "804-714-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC HOMELIFE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2022-02-19",
        "certification_date": "2022-02-19",
        "status": "A",
        "authorized_official_last_name": "NETTO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "804-869-6155",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "1447-01-011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2022; 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.