Organization Active NPI

Jjacks LLC

Doing business as Home Life Home Care

  • In Home Supportive Care Agency
  • Rock Hill, SC
National Provider Identifier
1437953734
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
JJACKS LLC
Doing business as
Home Life Home Care
Practice address
2241 Ebenezer Rd Ste 12
Rock Hill, SC 29732-9288
Phone
(803) 853-3088
NPI assigned
Apr 3, 2025
Organization subpart
Yes
Parent organization
HOME LIFE HOME CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Mrs. Crystal K Stewart
Title
Owner/Administrator
Phone
(803) 524-3877

Specialties & licenses 1

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

Addresses

Primary practice location

2241 Ebenezer Rd Ste 12
Rock Hill, SC 29732-9288

Mailing address

500 Fencepost LN
Rock Hill, SC 29730-8142
Phone (803) 853-3088

Other names 1

  • Home Life Home Care Doing business as

National Provider Directory

National Provider Directory
Part of
Jjacks LLC

Locations

2241 Ebenezer Rd
Ste 12
Rock Hill, SC 29732
Phone (803) 853-3088

NPI Registry JSON

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1437953734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FENCEPOST LN",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297308142",
            "telephone_number": "803-853-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 EBENEZER RD STE 12",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297329288",
            "telephone_number": "803-853-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJACKS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOME LIFE HOME CARE",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "803-524-3877",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Life Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.