NPIMap

Organization Active NPI

Jade Community Residential Care LLC

  • Assisted Living Facility
  • Charleston, SC
National Provider Identifier
1386880425
Registry record updated Dec 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
CRC1125 Issued in SC
Legal business name
JADE COMMUNITY RESIDENTIAL CARE LLC
Doing business as
Jade Community Residential Care III
Practice address
9 Cunnington Street
Charleston, SC 29413
Phone
(843) 853-0299
NPI assigned
Dec 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2008

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

Authorized official

Name
Ms. Julia M. Velasco
Title
Owner
Phone
(843) 853-6885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X CRC1125 SC Primary

Addresses

Primary practice location

9 Cunnington Street
Charleston, SC 29413

Mailing address

PO Box 21877
9 Cunnington Street
Charleston, SC 29413
Phone (843) 853-0299

Other names 1

  • Jade Community Residential Care III Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jade Community Residential Care II3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229644800000",
    "number": "1386880425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21877",
            "address_2": "9 CUNNINGTON STREET",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29413",
            "telephone_number": "843-853-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CUNNINGTON STREET",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29413",
            "telephone_number": "843-853-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE COMMUNITY RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-19",
        "last_updated": "2008-12-19",
        "status": "A",
        "authorized_official_last_name": "VELASCO",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-853-6885",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SC",
            "license": "CRC1125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jade Community Residential Care III",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; 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.