Active NPI
Precious Jewels Home Services
- In Home Supportive Care Agency
- Irmo, SC
National Provider Identifier
1235891896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- PRECIOUS JEWELS HOME SERVICES
- Practice address
- 401 Western LN Ste B
Irmo, SC 29063-7953 - Phone
- (803) 830-9095
- NPI assigned
- Oct 12, 2021
- Organization subpart
- Yes
- Parent organization
- PRECIOUS JEWELS MEDICAL & HEALTH SERVICES, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nikita Pete, DNP, APRN
- Title
- Medical Officer
- Phone
- (803) 830-9095
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
401 Western LN Ste B
Irmo, SC 29063-7953
Mailing address
401 Western LN Ste B
Irmo, SC 29063-7953
Phone (803) 830-9095
Other names 1
- Precious Jewels Medical
National Provider Directory
National Provider Directory- Part of
- Precious Jewels Medical He
Locations
401 Western Ln
Ste B
Irmo, SC 29063
Phone (803) 830-9095
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Home Health Agency
- Irmo, SC
- NPI 1902422850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644364800000",
"number": "1235891896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 WESTERN LN STE B",
"city": "IRMO",
"state": "SC",
"postal_code": "290637953",
"telephone_number": "803-830-9095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 WESTERN LN STE B",
"city": "IRMO",
"state": "SC",
"postal_code": "290637953",
"telephone_number": "803-830-9095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECIOUS JEWELS HOME SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PRECIOUS JEWELS MEDICAL & HEALTH SERVICES, LLC",
"enumeration_date": "2021-10-12",
"last_updated": "2022-02-09",
"certification_date": "2022-02-09",
"status": "A",
"authorized_official_last_name": "PETE",
"authorized_official_first_name": "NIKITA",
"authorized_official_title_or_position": "MEDICAL OFFICER",
"authorized_official_telephone_number": "803-830-9095",
"authorized_official_credential": "DNP, APRN"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Precious Jewels Medical",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Precious Jewels Medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Irmo, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.