Organization Active NPI

Jireh'S Residents Home Care LLC

  • In Home Supportive Care Agency
  • Henrico, VA
National Provider Identifier
1497243349
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
JIREH'S RESIDENTS HOME CARE LLC
Doing business as
JRHC
Practice address
10304 Avenham Way
Henrico, VA 23238-3690
Phone
(804) 819-0219
NPI assigned
Apr 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Authorized official

Name
Mr. Levi Richelieu Johnson, RN
Title
Administrator
Phone
(804) 819-0291

Specialties & licenses 1

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

Addresses

Primary practice location

10304 Avenham Way
Henrico, VA 23238-3690

Mailing address

10304 Avenham Way
Henrico, VA 23238-3690
Phone (804) 819-0219

Other names 1

  • JRHC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1497243349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10304 AVENHAM WAY",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232383690",
            "telephone_number": "804-819-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10304 AVENHAM WAY",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232383690",
            "telephone_number": "804-819-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIREH'S RESIDENTS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LEVI",
        "authorized_official_middle_name": "RICHELIEU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "804-819-0291",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JRHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.