Jabez Community Resource Center

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

JABEZ COMMUNITY RESOURCE CENTER

Practice address

2910 Dickson St
West Memphis, AR 72301-3638

Phone

(870) 636-3985

NPI assigned

Jun 19, 2020

Organization subpart

No

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

Authorized official

Name

Jahmela Kelley, MSW

Title

Excecutive Director

Phone

(870) 636-3985

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1447876024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 DICKSON ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013638",
            "telephone_number": "870-636-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 DICKSON ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013638",
            "telephone_number": "870-636-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JABEZ COMMUNITY RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "JAHMELA",
        "authorized_official_title_or_position": "EXCECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "870-636-3985",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Inboden, PTA
• Amelia Ingram
• Integrity Oncology Foundation
• Internal Medicine Assoc. of West Memphis
• J & C Williams Home Health, LLC
• Alicia Jackson, CASE MANAGER
• Amanda Marconi Jackson, PHARMD
• Jasmine Jackson
• Kaybriana I Jackson
• Nedra Clem Jackson, M.D.

• Home Health Agency in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Home Health Agency in Arkansas

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