Organization Active NPI

Jenna Spencer

  • Home Health Agency
  • Summerville, GA
National Provider Identifier
1457705436
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JENNA SPENCER
Practice address
2266 Josh Ward Rd
Summerville, GA 30747-5532
Phone
(740) 466-9682
NPI assigned
Apr 15, 2016
Last updated
Apr 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Authorized official

Name
Jenna Spencer
Title
Aide
Phone
(740) 466-9682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X OH Primary

Addresses

Primary practice location

2266 Josh Ward Rd
Summerville, GA 30747-5532

Mailing address

2266 Josh Ward Rd
Summerville, GA 30747-5532

Other identifiers 2

IdentifierTypeStateIssuer
360784969OtherOHAREA OF AGING
0059516MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1457705436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 JOSH WARD RD",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "307475532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 JOSH WARD RD",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "307475532",
            "telephone_number": "740-466-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNA SPENCER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "AIDE",
        "authorized_official_telephone_number": "740-466-9682"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AREA OF AGING",
            "identifier": "360784969",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0059516",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.