Jamren Nursing Care Service LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

JAMREN NURSING CARE SERVICE LLC

Practice address

507 Whippoorwill LN
Marion, IL 62959-5539

Phone

(301) 605-2799

NPI assigned

Sep 16, 2021

Last updated

Oct 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mathiew NgatiNPI 1073108163

Title

Administrator

Phone

(618) 364-0012

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Mathiew Ngati, DBA

  • Home Health Agency
  • Marion, IL
  • NPI 1073108163
  NPD Authorized official

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1629748074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 WHIPPOORWILL LN",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595539",
            "telephone_number": "301-605-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 WHIPPOORWILL LN",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595539",
            "telephone_number": "301-605-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMREN NURSING CARE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "NGATI",
        "authorized_official_first_name": "MATHIEW",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-364-0012",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400642",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Syed Hassan Khalid Jafri, MD
• Anupam Jain, M.D.
• James Burris, D.M.D, PLLC (Settle Dental Group)
• Kali Rae James, FNP-BC
• Nancy James
• Jane a. Pope (Jane A. Pope d.b.a SLP Services)
• Pamela Jellen, CNM
• Rachunon Jenkins, RN
• Ragini Jenkins, BSW
• Alicia Jetzer Demichele, RN

• Nursing Care Agency in Marion, IL
• Providers in Marion, IL by specialty
• Nursing Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.