Active NPI
Jefferson and Jefferson LLC.
- Child Intellectual and/or Developmental Disabilities Respite Care
- Gastonia, NC
National Provider Identifier
1861995367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- Legal business name
- JEFFERSON AND JEFFERSON LLC.
- Practice address
- 945 East 6 Ave
Gastonia, NC 28054 - Phone
- (704) 340-6584
- NPI assigned
- Mar 12, 2018
- 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
- Ms. Remilla V. Jefferson
- Title
- President
- Phone
- (704) 340-6584
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | Primary |
Addresses
Primary practice location
945 East 6 Ave
Gastonia, NC 28054
Mailing address
945 East 6 Ave
Gastonia, NC 28054
National Provider Directory
National Provider Directory- Tax ID family
- Jefferson and Jefferson LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1053445908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1520899200000",
"number": "1861995367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 EAST 6 AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "28054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 EAST 6 AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "28054",
"telephone_number": "704-340-6584"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFERSON AND JEFFERSON LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-12",
"last_updated": "2018-03-13",
"status": "A",
"authorized_official_last_name": "JEFFERSON",
"authorized_official_first_name": "REMILLA",
"authorized_official_middle_name": "V.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-340-6584",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.