Jenni-Lynn Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

JENNI-LYNN ASSISTED LIVING, LLC

Doing business as

Jenni Lynn Assisted Living

Practice address

915 Hook Ave
West Columbia, SC 29169-5332

Phone

(843) 296-3985

NPI assigned

Sep 17, 2020

Organization subpart

No

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

Authorized official

Name

Paula Carlson, CRCFA

Title

Executive Director

Phone

(843) 296-3985

Specialties & licenses 1

Addresses

Other names 1

• Jenni Lynn Assisted Living Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1114533981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 JOHNNIE DODDS BLVD STE 128",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294645901",
            "telephone_number": "843-296-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 HOOK AVE",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291695332",
            "telephone_number": "843-296-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNI-LYNN ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-296-3985",
        "authorized_official_credential": "CRCFA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jenni Lynn Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deandra Jefferson
• Delvina Gladys Jeffries, CERTIFIED HAIR LOSS
• Jenkins Simply Said Counseling Service, LLC
• Ashley Jenkins
• Ebony Shayteva Jenkins, CRNA
• Jennifer M Kern DPM PA
• Carol Demontmollin Jennings, MSP, CCC-SLP
• Jon Patrick Jennings, M.D.
• Dawn Jensen, PHARMD
• Ashley V Jerry, PTA

• Assisted Living Facility in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Assisted Living Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.