Jac Inc., General Contractors

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

2705094392A Issued in VA

Legal business name

JAC INC., GENERAL CONTRACTORS

Practice address

305 Carolina Rd
Suffolk, VA 23434-5813

Phone

(757) 538-1926

NPI assigned

Mar 14, 2012

Organization subpart

No

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

Authorized official

Name

Linda Jennings

Title

President

Phone

(757) 538-1926

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1821363573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 CAROLINA RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CAROLINA RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345813",
            "telephone_number": "757-538-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAC INC., GENERAL CONTRACTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-538-1926"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "VA",
            "license": "2705094392A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.