Jewel Community Care LLC
Organization Active NPI Community/Behavioral Health Agency · Haw River, NC
NPI 1558034181 · NPPES record last updated Jul 29, 2021
Key facts
- NPI
- 1558034181
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- JEWEL COMMUNITY CARE LLC
- Practice address
- 1003 W Main St Ste B2
Haw River, NC 27258-8931 - Phone
- (877) 775-3935
- Fax
- (866) 545-3560
- NPI assigned
- Jul 29, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- JEWEL COMMUNITY CARE LLC
Authorized official
- Name
- Crystal D Bush, LCSW LCAS LISW-CP
- Title
- Clinical Director
- Phone
- (984) 292-4235
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 1
Practitioners 1
-
Crystal Denee Bush, LCSW, LCAS, LISW-CP
National Provider Directory
- Tax ID family
- Jewel Community Care LLC
- Part of
- Jewel Community Care LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
1003 W Main St Ste B2
Haw River, NC 27258-8931
Mailing address
1712 Sun Star Dr
Raleigh, NC 27610-7281
Phone (919) 649-0903
Other names
- Jewel Community Care- Alamance
Other providers in Haw River, NC
- Jacobe Leon Douglas
- Brandy Michelle Faucette
- Cameron Bryant Gibson
- Haw River Drug Inc
- Haw River Pharmacy LLC
- Snjezana Joksimovic
- Lewis Leander Newman Jr.
- Pharmacure Health Center LLC
- Ralph Scott Lifeservices Inc
- Eureka Deniece Shaw
All providers in Haw River, NC · Community/Behavioral Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.