Jemassie Incorporated

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

194810 Issued in NC

Legal business name

JEMASSIE INCORPORATED

Practice address

1942 Pheasant Glen Rd
Charlotte, NC 28214-8209

Phone

(704) 399-3555

NPI assigned

Aug 30, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Shenita Renea Colson, BSN, MBA/MHA, CCM,

Title

Founder/President

Phone

(704) 399-3555

Specialties & licenses 10

Addresses

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1770864290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681421",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282160025",
            "telephone_number": "704-399-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 PHEASANT GLEN RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282148209",
            "telephone_number": "704-399-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEMASSIE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "COLSON",
        "authorized_official_first_name": "SHENITA",
        "authorized_official_middle_name": "RENEA",
        "authorized_official_title_or_position": "FOUNDER/PRESIDENT",
        "authorized_official_telephone_number": "704-399-3555",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSN, MBA/MHA, CCM,"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": "NC",
            "license": "194810",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": "NC",
            "license": "194810",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": "NC",
            "license": "194810",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "NC",
            "license": "194810",
            "primary": false
        },
        {
            "code": "163WH0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Hemodialysis",
            "state": "NC",
            "license": "194810",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "194810",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "194810",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "194810",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "194810",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NC",
            "license": "194810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Facility/Intermediate Care Facility in Charlotte, NC
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.