J-Jireh Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

1097604 Issued in NC

Legal business name

J-JIREH SERVICES

Practice address

188 Shocco Springs Rd
Warrenton, NC 27589-8715

Phone

(252) 257-9909

NPI assigned

Jul 19, 2010

Last updated

Jul 19, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gertie Williams Crute, QP, LPN

Title

Director

Phone

(252) 433-5103

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1871806869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 SHOCCO SPRINGS RD",
            "city": "WARRENTON",
            "state": "NC",
            "postal_code": "275898715",
            "telephone_number": "252-257-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 SHOCCO SPRINGS RD",
            "city": "WARRENTON",
            "state": "NC",
            "postal_code": "275898715",
            "telephone_number": "252-257-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J-JIREH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "CRUTE",
        "authorized_official_first_name": "GERTIE",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-433-5103",
        "authorized_official_credential": "QP, LPN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "1097604",
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "1097604",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NC",
            "license": "1097604",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "1097604",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Warrenton, NC
• Providers in Warrenton, NC by specialty
• Case Management Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.