Organization Active NPI

Precious Jewels Home Services

  • In Home Supportive Care Agency
  • Irmo, SC
National Provider Identifier
1235891896
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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)CodeLicenseStatePrimary
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 Doing business as

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.

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.

Verify at the official NPI Registry.