Precious Jewels Medical & Health Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRECIOUS JEWELS MEDICAL & HEALTH SERVICES, LLC

Practice address

401 Western LN Ste B
Irmo, SC 29063-7953

Phone

(803) 830-9095

NPI assigned

Jun 17, 2020

Organization subpart

No

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

Authorized official

Name

Nikita Shaneka Pete

Title

Medical Officer

Phone

(803) 830-7075

Specialties & licenses 3

Addresses

Other names 1

• Precious Jewels Medical Lab Doing business as

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Precious Jewels Home Services

  • In Home Supportive Care Agency
  • Irmo, SC
  • NPI 1235891896
  NPPES parent name
• Precious Jewels Medical Lab

  • Clinical Medical Laboratory
  • Irmo, SC
  • NPI 1982366530
  NPPES parent name

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1902422850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WESTERN LN STE B",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290637953",
            "telephone_number": "803-834-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WESTERN LN STE B",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290637953",
            "telephone_number": "803-830-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS JEWELS MEDICAL & HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "PETE",
        "authorized_official_first_name": "NIKITA",
        "authorized_official_middle_name": "SHANEKA",
        "authorized_official_title_or_position": "MEDICAL OFFICER",
        "authorized_official_telephone_number": "803-830-7075"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precious Jewels Medical Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin L Potts, RPH
• Patricia Powell, RN
• Brittany Powers Berlinrut, DPT, FAAOMPT
• PPCP Specialty Physicians , LLC
• Precious Jewels Home Services
• Precious Jewels Medical Lab
• Tena Pressley
• Progressive Chiropractic & Orthopedic
• Progressive Physical Therapy, PA
• Providence Orthopaedic Group, LLC

• Home Health Agency in Irmo, SC
• Providers in Irmo, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.