Active NPI
Jen & C Home Care, LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Virginia Beach, VA
National Provider Identifier
1780136713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 1117-01-001
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Preferred Provider Organization
- Virginia Beach, VA
- NPI 1821234337
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.