Organization Active NPI

CCJP, Inc.

Doing business as Senior Helpers

  • In Home Supportive Care Agency
  • Ephrata, PA
National Provider Identifier
1336583475
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CCJP, INC.
Doing business as
Senior Helpers
Practice address
1060 S. State Street
Suite E
Ephrata, PA 17522
Phone
(717) 738-0588
Fax
(717) 738-0539
NPI assigned
Apr 19, 2013
Last updated
May 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Authorized official

Name
Mr. Kent J Terry III
Title
President
Phone
(717) 738-0588

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 23343601 PA
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1060 S. State Street
Suite E
Ephrata, PA 17522

Mailing address

1060 S. State Street
Suite E
Ephrata, PA 17522
Phone (717) 738-0588

Other names 1

  • Senior Helpers Doing business as

National Provider Directory

National Provider Directory

Locations

1060 S State St
Ste E
Ephrata, PA 17522
Phone (717) 738-0588

NPI Registry JSON

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1336583475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 S. STATE STREET",
            "address_2": "SUITE E",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "17522",
            "telephone_number": "717-738-0588",
            "fax_number": "717-738-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 S. STATE STREET",
            "address_2": "SUITE E",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "17522",
            "telephone_number": "717-738-0588",
            "fax_number": "717-738-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCJP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-738-0588",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "23343601",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Helpers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Senior Helpers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ephrata, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.