JC Homelife, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

JC HOMELIFE, INC.

Practice address

5941 Willowbranch Dr
North Chesterfield, VA 23234-5929

Phone

(804) 869-6155

Fax

(804) 714-1356

NPI assigned

Feb 13, 2019

Organization subpart

No

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

Addresses

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.

• JC Homelife, Inc.

  • Developmentally Disabled Services Day Training Agency
  • North Chesterfield, VA
  • NPI 1063799807
  NPD tax ID

Locations

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645228800000",
    "number": "1124584222",
    "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": "5941 WILLOWBRANCH DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232345929",
            "telephone_number": "804-869-6155",
            "fax_number": "804-714-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC HOMELIFE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "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": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reba James
• Robin Ross James Jr.
• Nancy Jaquez
• Jerard B Jarrett
• JC Homelife, Inc.
• Jahnaisha S Jean-Philippe
• Ashlie Jeffery, LPC
• Amanda Jeffrey, RDH
• Robyn Lowry Jennings, LPC
• Samantha Jennings, LPC

• Developmentally Disabled Services Day Training Agency in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Developmentally Disabled Services Day Training Agency in Virginia

• 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.