Jordan River Support Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2864-03-001 Issued in VA

Legal business name

JORDAN RIVER SUPPORT SERVICES

Practice address

2616 Langhorne Rd Ste 1
Lynchburg, VA 24501-1600

Phone

(434) 250-5943

Fax

(434) 439-2933

NPI assigned

Jul 9, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Deshay CarterNPI 1841783354

Title

Ceo

Phone

(434) 250-5943

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Deshay Carter

  • Community/Behavioral Health Agency
  • Lynchburg, VA
  • NPI 1841783354
  NPD (past) Authorized official

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1194211599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 LANGHORNE RD STE 1",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011600",
            "telephone_number": "434-250-5943",
            "fax_number": "434-439-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 LANGHORNE RD STE 1",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011600",
            "telephone_number": "434-250-5943",
            "fax_number": "434-439-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN RIVER SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "DESHAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "434-250-5943",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "2864-03-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Ann Read Jones, PA-C
• Paulette Jones
• Seth Elijah Jones, P.A.-C
• Shunee Jones
• Yazmine Jones, BS, ATS
• Daquan Jordan
• Charles R Joseph
• Lynn Joshua, CPM, LM
• Johnie Preston Joyce II
• Jubilee Behavioral Health Services Inc

• Community/Behavioral Health Agency in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.