NPIMap

Organization Active NPI

JWH Service Partners, Inc

  • Respite Care
  • Valdosta, GA
National Provider Identifier
1285162529
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
092-R-0013 Issued in GA
Legal business name
JWH SERVICE PARTNERS, INC
Doing business as
Home Instead Senior Care #585
Practice address
4480 Valnorth Dr Ste D
Valdosta, GA 31602-6818
Phone
(229) 245-0123
Fax
(229) 247-8142
NPI assigned
May 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Jack Wayne Hartley
Title
President/Owner
Phone
(229) 245-0123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 092-R-0013 GA Primary

Addresses

Primary practice location

4480 Valnorth Dr Ste D
Valdosta, GA 31602-6818

Mailing address

4480 Valnorth Dr Ste D
Valdosta, GA 31602-6818
Phone (229) 245-0123

Other names 1

  • Home Instead Senior Care #585 Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285162529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 VALNORTH DR STE D",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026818",
            "telephone_number": "229-245-0123",
            "fax_number": "229-247-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 VALNORTH DR STE D",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026818",
            "telephone_number": "229-245-0123",
            "fax_number": "229-247-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JWH SERVICE PARTNERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HARTLEY",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "229-245-0123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "GA",
            "license": "092-R-0013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care #585",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.