Organization Active NPI

Jen & C Home Care, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Virginia Beach, VA
National Provider Identifier
1780136713
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
1117-01-001 Issued in VA
Legal business name
JEN & C HOME CARE, LLC
Practice address
905 Aragona Blvd
Virginia Beach, VA 23455-5301
Phone
(757) 636-8899
Fax
(757) 498-4739
NPI assigned
Oct 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Authorized official

Name
Ms. Josefina Galon
Title
Owner
Phone
(757) 636-8899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 1117-01-001 VA Primary

Addresses

Primary practice location

905 Aragona Blvd
Virginia Beach, VA 23455-5301

Mailing address

1040 Northwood Dr
VA Beach, VA 23452-7952
Phone (757) 636-8899

National Provider Directory

National Provider Directory
Tax ID family
Jen C Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1780136713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 NORTHWOOD DR",
            "city": "VA BEACH",
            "state": "VA",
            "postal_code": "234527952",
            "telephone_number": "757-636-8899",
            "fax_number": "757-498-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 ARAGONA BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555301",
            "telephone_number": "757-636-8899",
            "fax_number": "757-498-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEN & C HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "GALON",
        "authorized_official_first_name": "JOSEFINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-636-8899",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "1117-01-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.