Organization Active NPI

JC Private Nursing Services

  • In Home Supportive Care Agency
  • Lehigh Acres, FL
National Provider Identifier
1275214769
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
JC PRIVATE NURSING SERVICES
Practice address
1008 Robert Ave
Lehigh Acres, FL 33936-0913
Phone
(239) 476-2169
NPI assigned
Jul 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

Name
Miss Juana Castaneda, RNNPI 1205512720
Title
Administrador
Phone
(239) 476-2169

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1008 Robert Ave
Lehigh Acres, FL 33936-0913

Mailing address

1008 Robert Ave
Lehigh Acres, FL 33936-0913
Phone (239) 476-2169

Other names 1

  • J.C.Private Nursing Service Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2315819JC Private Nursing Services LLC1008 Robert Ave, Lehigh Acres, FL 33936Certificate of waiverDec 18, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1275214769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 ROBERT AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339360913",
            "telephone_number": "239-476-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 ROBERT AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339360913",
            "telephone_number": "239-476-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC PRIVATE NURSING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "CASTANEDA",
        "authorized_official_first_name": "JUANA",
        "authorized_official_title_or_position": "ADMINISTRADOR",
        "authorized_official_telephone_number": "239-476-2169",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J.C.Private Nursing Service",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "J.C.Private Nursing Service",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.