Active NPI
Jeanne Legacy Support Services
- Case Management Agency
- Voorhees, NJ
National Provider Identifier
1558290700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- JEANNE LEGACY SUPPORT SERVICES
- Practice address
- 64 Van Buren Rd Apt 7
Voorhees, NJ 08043-2341 - Phone
- (856) 617-9563
- Fax
- (856) 617-9563
- NPI assigned
- May 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacqueline Dissirama Ayi-Bamah
- Title
- Owner
- Phone
- (856) 617-9563
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
64 Van Buren Rd Apt 7
Voorhees, NJ 08043-2341
Mailing address
64 Van Buren Rd Apt 7
Voorhees, NJ 08043-2341
Phone (856) 617-9563
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Westampton, NJ
- NPI 1881464543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778716800000",
"number": "1558290700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 VAN BUREN RD APT 7",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080432341",
"telephone_number": "856-617-9563",
"fax_number": "856-617-9563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 VAN BUREN RD APT 7",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080432341",
"telephone_number": "856-617-9563",
"fax_number": "856-617-9563"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEANNE LEGACY SUPPORT SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-14",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A",
"authorized_official_last_name": "AYI-BAMAH",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_middle_name": "DISSIRAMA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "856-617-9563"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Voorhees, NJ
- Michelle Jarzabkowski
- Paula Carol Jasionowski, APN,C
- Rebecca Jaslow, MD
- Jay S. Jenoff, M.D. L.L.C.
- Jenani Sarah Jayakumaran, MD
- Cara Jean Jedlicka, LAC
- Jefferson University Physicians of New Jersey (Jefferson Kidney Transplant Special)
- Jefferson University Physicians of New Jersey, P.C.
- Jefferson University Physicians of New Jersey, P.C.
- Jeffhome NJ, LLC. (Jefferson Health at Home by BAYADA)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.