Jump Start Home Care, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

JUMP START HOME CARE, LLC

Practice address

5373 Aristocrat Dr
Providence Forge, VA 23140-4443

Phone

(804) 557-5255

Fax

(804) 557-5255

NPI assigned

May 5, 2023

Last updated

Aug 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Feivor

Title

Co-Owner

Phone

(804) 557-5255

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1073202909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5373 ARISTOCRAT DR",
            "city": "PROVIDENCE FORGE",
            "state": "VA",
            "postal_code": "231404443",
            "telephone_number": "804-557-5255",
            "fax_number": "804-557-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5373 ARISTOCRAT DR",
            "city": "PROVIDENCE FORGE",
            "state": "VA",
            "postal_code": "231404443",
            "telephone_number": "804-557-5255",
            "fax_number": "804-557-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUMP START HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "FEIVOR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "804-557-5255",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Elizabeth Elliott
• Linda Greaver, PT
• Nicole Halligan
• Kyla Hanzlik
• Andrea Michelle Johnson, LCSW
• Aravind Kumar Reddy Kasireddy, R.PH
• Daniel Kunkel
• Srikanth Mahavadi, DPM
• Kim R McFadden, PA
• Ciara Morse, RD

• Early Intervention Provider Agency in Providence Forge, VA
• Providers in Providence Forge, VA by specialty
• Early Intervention Provider Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.