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

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Jewel Community Care LLC (2 organizations share this tax ID)
Part of
Jewel Community Care LLC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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 name

Other providers in Haw River, NC

All providers in Haw River, NC · Community/Behavioral Health Agency in North Carolina

Sources for this page

Verify at the official NPI Registry.