JSP Life Agency Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1169L001 Issued in NY

Legal business name

JSP LIFE AGENCY INC.

Practice address

279 E. 204TH St.
2ND Floor
Bronx, NY 10467-3225

Phone

(718) 944-4705

Fax

(718) 944-5257

NPI assigned

Jan 3, 2008

Organization subpart

No

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

Authorized official

Name

Ivelisse Maria Cruz, RN

Title

Director of Patients Service

Phone

(718) 944-4705

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1760667182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279-281 E. 204TH STREET",
            "address_2": "2ND FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "718-944-4705",
            "fax_number": "718-944-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 E. 204TH ST.",
            "address_2": "2ND FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104673225",
            "telephone_number": "718-944-4705",
            "fax_number": "718-944-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSP LIFE AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "IVELISSE",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENTS SERVICE",
        "authorized_official_telephone_number": "718-944-4705",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1169L001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.