Organization Active NPI

Jireh Nursing Agency LLC

  • Home Health Agency
  • Willow Grove, PA
National Provider Identifier
1205142676
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
10-16-343 Issued in PA
Legal business name
JIREH NURSING AGENCY LLC
Practice address
359 York Rd
Willow Grove, PA 19090-2621
Phone
(215) 659-1097
Fax
(215) 659-1097
NPI assigned
Aug 24, 2010
Last updated
Aug 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Authorized official

Name
Ms. Collette C. Grant
Title
Owner / Director
Phone
(215) 659-1097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 10-16-343 PA Primary

Addresses

Primary practice location

359 York Rd
Willow Grove, PA 19090-2621

Mailing address

359 York Rd
Willow Grove, PA 19090-2621
Phone (215) 659-1097

National Provider Directory

National Provider Directory

Locations

359 N York Rd
Willow Grove, PA 19090
Phone (215) 659-1097

NPI Registry JSON

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1205142676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 YORK RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902621",
            "telephone_number": "215-659-1097",
            "fax_number": "215-659-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 YORK RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902621",
            "telephone_number": "215-659-1097",
            "fax_number": "215-659-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIREH NURSING AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "COLLETTE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER / DIRECTOR",
        "authorized_official_telephone_number": "215-659-1097",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "10-16-343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.