NPIMap

Organization Active NPI

Jayreese Home Care Service

  • Home Health Agency
  • St. Helena, SC
National Provider Identifier
1659579290
Registry record updated Jul 21, 2022
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Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JAYREESE HOME CARE SERVICE
Practice address
22 Old Polowana Road
St. Helena, SC 29920-1583
Phone
(843) 838-3295
Fax
(843) 838-4766
NPI assigned
Jul 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Dora D. James, MSW
Title
President
Phone
(843) 838-3295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X SC Primary

Addresses

Primary practice location

22 Old Polowana Road
St. Helena, SC 29920-1583

Mailing address

PO Box 1583
Saint Helena Island, SC 29920-1583
Phone (843) 838-3295

National Provider Directory

National Provider Directory
Tax ID family
Jayreese Contracting Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659579290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1583",
            "city": "SAINT HELENA ISLAND",
            "state": "SC",
            "postal_code": "299201583",
            "telephone_number": "843-838-3295",
            "fax_number": "843-838-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 OLD POLOWANA ROAD",
            "city": "ST. HELENA",
            "state": "SC",
            "postal_code": "299201583",
            "telephone_number": "843-838-3295",
            "fax_number": "843-838-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYREESE HOME CARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "DORA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-838-3295",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.