Jernigan Nursing Home Services Inc

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

NH0255 Issued in NC

Legal business name

JERNIGAN NURSING HOME SERVICES INC

Doing business as

Harborview Health Care Center

Practice address

812 Shepard St
Morehead City, NC 28557-4250

Phone

(252) 726-6855

Fax

(252) 808-2074

NPI assigned

Jun 28, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kaye R Jernigan

Title

Administrator

Phone

(252) 726-6855

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Harborview Health Care Center Doing business as

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861429383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 SHEPARD ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574250",
            "telephone_number": "252-726-6855",
            "fax_number": "252-808-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 SHEPARD ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574250",
            "telephone_number": "252-726-6855",
            "fax_number": "252-808-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERNIGAN NURSING HOME SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JERNIGAN",
        "authorized_official_first_name": "KAYE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-726-6855",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nursing Home Administrator",
            "state": "NC",
            "license": "NH0255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405244",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00982",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406189",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harborview Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheryl A Jacoby, M.A., NCC, LCMHCA
• Jacqueline M Jaloszynski, AUD
• James Clark Johnson, Jr., DDS, PA
• James T. Goots D.D.S., P.L.L.C.
• Cheryl Ann Jaros, PA-C
• Katharine Wheeler Jett, CRC, LPCA
• Barbara Joan Johnson, LMBT
• Betsy Johnson
• Carla Johnson, RPH
• Erin Kolberg Johnson, AU.D.

• Nursing Home Administrator in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Nursing Home Administrator in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.