Active NPI
Jenesys Home Health Care Services LLC
Doing business as Jenesys HHCS
- Home Health Agency
- Smithfield, VA
National Provider Identifier
1841722600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HCO171051
- Legal business name
- JENESYS HOME HEALTH CARE SERVICES LLC
- Doing business as
- Jenesys HHCS
- Practice address
- 1613 S Church St Ste 6
Smithfield, VA 23430-1831 - Phone
- (757) 356-0566
- Fax
- (757) 356-0599
- NPI assigned
- Mar 31, 2017
- Last updated
- Oct 23, 2019
- 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
- Shante Hall
- Title
- Administrator
- Phone
- (757) 420-0566
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HCO171051 | VA | Primary |
| Nursing Care Agency | 251J00000X | HCO171051 | VA | |
| Skilled Nursing Facility | 314000000X | |||
| Respite Care | 385H00000X | HCO171051 | VA | |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | |||
| Child Physical Disabilities Respite Care | 385HR2065X |
Addresses
Primary practice location
1613 S Church St Ste 6
Smithfield, VA 23430-1831
Mailing address
676 Battlefield Blvd N Ste a
Chesapeake, VA 23320-0306
Phone (757) 420-0566
Other practice location 1
739 Thimble Shoals Blvd Bldg 700 Ste 704
Box 19
Newport News, VA 23606-3562
Phone (757) 420-0566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245574284 | Medicaid | VA |
Other names 2
- Jenesys HHCS
- Jenesys Home Health Care Services Inc
National Provider Directory
National Provider Directory- Tax ID family
- Jenesys Home Care Atlanta
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Atlanta, GA
- NPI 1003348707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571788800000",
"number": "1841722600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "676 BATTLEFIELD BLVD N STE A",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233200306",
"telephone_number": "757-420-0566",
"fax_number": "757-420-0599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 S CHURCH ST STE 6",
"city": "SMITHFIELD",
"state": "VA",
"postal_code": "234301831",
"telephone_number": "757-356-0566",
"fax_number": "757-356-0599"
}
],
"practiceLocations": [
{
"address_1": "739 Thimble Shoals Blvd Bldg 700 Ste 704",
"address_2": "Box 19",
"address_purpose": "LOCATION",
"city": "Newport News",
"state": "VA",
"postal_code": "236063562",
"country_code": "US",
"telephone_number": "757-420-0566",
"fax_number": "757-420-0599",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JENESYS HOME HEALTH CARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-31",
"last_updated": "2019-10-23",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "SHANTE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "757-420-0566"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "VA",
"license": "HCO171051",
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "VA",
"license": "HCO171051",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "VA",
"license": "HCO171051",
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245574284",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jenesys HHCS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Jenesys Home Health Care Services Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.