NPIMap

Organization Active NPI

JMJ Healthcare Incorporated

  • Home Health Agency
  • Berwyn, PA
National Provider Identifier
1780988618
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
20553601 Issued in PA
Legal business name
JMJ HEALTHCARE INCORPORATED
Doing business as
BrightStar of West Chester
Practice address
1055 Westlakes Dr
Suite 300
Berwyn, PA 19312-2410
Phone
(484) 328-1705
Fax
(484) 328-1703
NPI assigned
Jan 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Mr. Reynolds Francis Corea
Title
President
Phone
(484) 328-1705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 20553601 PA Primary

Addresses

Primary practice location

1055 Westlakes Dr
Suite 300
Berwyn, PA 19312-2410

Mailing address

1055 Westlakes Dr
Suite 300
Berwyn, PA 19312-2410
Phone (484) 328-1705

Other names 1

  • BrightStar of West Chester Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1780988618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 WESTLAKES DR",
            "address_2": "SUITE 300",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193122410",
            "telephone_number": "484-328-1705",
            "fax_number": "484-328-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 WESTLAKES DR",
            "address_2": "SUITE 300",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193122410",
            "telephone_number": "484-328-1705",
            "fax_number": "484-328-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMJ HEALTHCARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "COREA",
        "authorized_official_first_name": "REYNOLDS",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-328-1705",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "20553601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar of West Chester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berwyn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.