Jde Enterprises LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

JDE ENTERPRISES LLC

Practice address

1257 Commercial Dr SW Ste C
Conyers, GA 30094-5991

Phone

(770) 344-8704

Fax

(678) 609-5407

NPI assigned

Aug 9, 2021

Last updated

Aug 9, 2021By 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

Janine Porter

Title

Executive Director

Phone

(770) 344-8704

Specialties & licenses 3

Addresses

Other names 1

• Georgia Hope Inc-PCHP Other name

Locations

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1114692514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 COMMERCIAL DR SW STE C",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945991",
            "telephone_number": "770-906-3600",
            "fax_number": "678-609-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 COMMERCIAL DR SW STE C",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945991",
            "telephone_number": "770-344-8704",
            "fax_number": "678-609-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDE ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "JANINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "770-344-8704"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia Hope Inc-PCHP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jack Donald James, M.D.
• Kimberly R James
• Ghulam Mustafa Jarwar, M.D
• Rabail Jarwar, MD
• Safiatou Jawara-Redwood
• Clarel Jean-Louis Jr., D.C.
• Gregory Jean, RN
• Shauna S. Jeffcoat, LE, CPT
• Faith Jeffers
• Tonya K Jefferson, APRN

• In Home Supportive Care Agency in Conyers, GA
• Providers in Conyers, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.