NPIMap

Organization Active NPI

Jen & C Home Care,LLC

  • Preferred Provider Organization
  • Virginia Beach, VA
National Provider Identifier
1821234337
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
JEN & C HOME CARE,LLC
Practice address
905 Aragona Blvd
Virginia Beach, VA 23455-5301
Phone
(757) 275-9541
NPI assigned
Jan 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Authorized official

Name
Ms. Narcisa Blancaflor Dela Cruz, REGISTERED NURSE
Title
Residential Director
Phone
(757) 650-0673

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary
Preferred Provider Organization 305R00000X 1117 VA

Addresses

Primary practice location

905 Aragona Blvd
Virginia Beach, VA 23455-5301

Mailing address

905 Aragona Blvd
Virginia Beach, VA 23455-5301
Phone (757) 650-0673

Other identifiers 1

IdentifierTypeStateIssuer
0156459460OtherAPI

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.

  • Jen & C Home Care, LLC
    • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
    • Virginia Beach, VA
    • NPI 1780136713
    NPD tax ID

NPI Registry JSON

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1821234337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 ARAGONA BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555301",
            "telephone_number": "757-650-0673",
            "fax_number": "757-333-3874"
        },
        {
            "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": "757-275-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEN & C HOME CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-05",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "DELA CRUZ",
        "authorized_official_first_name": "NARCISA",
        "authorized_official_middle_name": "BLANCAFLOR",
        "authorized_official_title_or_position": "RESIDENTIAL DIRECTOR",
        "authorized_official_telephone_number": "757-650-0673",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "VA",
            "license": "1117",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "API",
            "identifier": "0156459460",
            "state": null
        }
    ],
    "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 Jan 5, 2009; 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.