Latrell Jenkins, C.N.A.

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

47-2636910 Issued in GA

Practice address

208 Curtis St
Sylvania, GA 30467-2432

Phone

(912) 978-8282

NPI assigned

Mar 23, 2015

Last updated

Mar 27, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Under the Shadows Private Home Care

  • Exclusive Provider Organization
  • Sylvania, GA
  • NPI 1841739984
  NPD (past) Authorized official

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1841684347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 CURTIS ST",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304672432",
            "telephone_number": "912-978-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 CURTIS ST",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304672432",
            "telephone_number": "912-978-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "LATRELL",
        "credential": "C.N.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": "47-2636910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-263-6910",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miranda Jackson
• Sharon A. Jacobs, LPN
• Mary Lana Jarrell, APRN
• Jenkins County Hospital LLC (Optim Medical Center - Jenkins)
• Jenkins County Hospital, LLC (Optim Surgical Associates - Sylvania)
• Courtney Johnson, M.ED, LPC, NCC
• Mary Beth Jones-Godbee, RN
• William Kent, MD
• Kayla Kirkland, PHARMD
• Natalie Knight

• Home Health Aide in Sylvania, GA
• Providers in Sylvania, GA by specialty
• Home Health Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.