Individual provider Active NPI

Jamarian Jevon Hawthorne

  • Home Health Agency
  • Louisville, KY
National Provider Identifier
1720605850
Registry record updated Mar 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
7813 Beulah Church Rd Unit 110
Louisville, KY 40228-1773
Phone
(502) 975-1733
NPI assigned
Jul 6, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7813 Beulah Church Rd Unit 110
Louisville, KY 40228-1773

Mailing address

7813 Beulah Church Rd Unit 110
Louisville, KY 40228-1773

Other practice location 1

7813 Beulah Church Rd
Louisville, KY 40228-1700
Phone (502) 975-1733

Other identifiers 1

IdentifierTypeStateIssuer
850751282OtherIRS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616803200000",
    "number": "1720605850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7813 BEULAH CHURCH RD UNIT 110",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402281773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7813 BEULAH CHURCH RD UNIT 110",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402281773",
            "telephone_number": "502-975-1733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7813 Beulah Church Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402281700",
            "country_code": "US",
            "telephone_number": "502-975-1733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWTHORNE",
        "first_name": "JAMARIAN",
        "middle_name": "JEVON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-06",
        "last_updated": "2021-03-27",
        "certification_date": "2021-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "850751282",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.