Active NPI
BJ Professional Services, Inc.
- Home Health Registered Nurse
- Elizabethtown, NC
National Provider Identifier
1578769386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 167712
- Legal business name
- BJ PROFESSIONAL SERVICES, INC.
- Practice address
- 1206 Twisted Hickory Rd
Elizabethtown, NC 28337-5216 - Phone
- (910) 862-2484
- Fax
- (910) 862-6121
- NPI assigned
- Jun 27, 2007
- Last updated
- Aug 22, 2020
- 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
- Mr. Jarvis Carl Lockhart
- Title
- Administrator
- Phone
- (910) 862-2484
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 167712 | NC | Primary |
Addresses
Primary practice location
1206 Twisted Hickory Rd
Elizabethtown, NC 28337-5216
Mailing address
1206 Twisted Hickory Rd
Elizabethtown, NC 28337-5216
Phone (910) 862-2484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100292 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- BJ Professional Services Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nurse's Aide
- Elizabethtown, NC
- NPI 1649393828
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Elizabethtown, NC
- NPI 1790829158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1578769386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1206 TWISTED HICKORY RD",
"city": "ELIZABETHTOWN",
"state": "NC",
"postal_code": "283375216",
"telephone_number": "910-862-2484",
"fax_number": "910-862-6121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1206 TWISTED HICKORY RD",
"city": "ELIZABETHTOWN",
"state": "NC",
"postal_code": "283375216",
"telephone_number": "910-862-2484",
"fax_number": "910-862-6121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BJ PROFESSIONAL SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LOCKHART",
"authorized_official_first_name": "JARVIS",
"authorized_official_middle_name": "CARL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "910-862-2484",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NC",
"license": "167712",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100292",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elizabethtown, NC
- Meredith A Bell, LCSW-A
- Megan A Bennett
- William Dean Beutel, M.D.
- Bio-Medical Applications of North Carolina, Inc. (Fresenius Medical Care Bladen Home Dialysis)
- BJ Professional Services Inc
- BJ Professional Services, Inc.
- Bladen County Department of Social Services
- Bladen County Emergency Physicians PLLC
- Bladen County Health Dept
- Bladen County Hospital (Bladen Urgent Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.