Jesus Is Lord Healthcare Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

021-R-0019 Issued in GA

Legal business name

JESUS IS LORD HEALTHCARE SERVICES, INC.

Practice address

2764 Tobacco Rd
Hephzibah, GA 30815-7014

Phone

(706) 790-5836

Fax

(706) 790-0767

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Dorothy Jackson

Title

Ceo

Phone

(706) 790-0767

Specialties & licenses 1

Addresses

Other identifiers 7

Locations

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1346451366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2764 TOBACCO RD",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "308157014",
            "telephone_number": "706-790-5836",
            "fax_number": "706-790-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2764 TOBACCO RD",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "308157014",
            "telephone_number": "706-790-5836",
            "fax_number": "706-790-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESUS IS LORD HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-790-0767"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "021-R-0019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000804889B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000804889H",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000804889C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000804889G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000804889K",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000804889D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000804889A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenya Rolanda James, RCD
• JCJ Enterprises
• Eleonora Jenkins, D.M.D
• Tara Jenkins
• Miriam Jennings
• Andraes N Johnson, LPN
• Brian Johnson
• Fred Thomas Jones, R.PH
• Kerry Ann Kimala Jones
• Vannette Machelle Jones, RN

• Home Health Agency in Hephzibah, GA
• Providers in Hephzibah, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.