Jcorps
Organization Active NPI Registered Nurse · Moulton, AL
NPI 1720119944 · NPPES record last updated Apr 30, 2010
Key facts
- NPI
- 1720119944
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Nurse 163W00000X
- Legal business name
- JCORPS
- Practice address
- 644 Main St
Moulton, AL 35650-1513 - Phone
- (256) 974-9550
- Fax
- (256) 974-7887
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Miss Lashundra Craig
- Title
- Owner
- Phone
- (256) 974-9550
National Provider Directory
Locations
644 Main St
Moulton, AL 35650
Phone (256) 974-9550
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse |
163W00000X | Yes | ||
| Licensed Practical Nurse |
164W00000X | |||
| Home Health Aide |
374U00000X | |||
| Homemaker |
376J00000X | |||
| Nurse's Aide |
376K00000X |
Addresses
Primary practice location
644 Main St
Moulton, AL 35650-1513
Mailing address
644 Main St
644 Main St
Moulton, AL 35650-1513
Phone (256) 974-9550
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720119944 | Medicaid | AL |
Other names
- JCORPS HOMECARE SERVICES
Other providers in Moulton, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.