JCSW Enterprises, LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

JCSW ENTERPRISES, LLC

Practice address

3405 Royal Highland Dr
Winston Salem, NC 27107-1880

Phone

(336) 918-9810

NPI assigned

Jan 7, 2015

Last updated

Jan 7, 2015By 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

Jeannene Gaddy

Title

Ceo

Phone

(336) 918-9810

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1912395385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 ROYAL HIGHLAND DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271071880",
            "telephone_number": "336-918-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 ROYAL HIGHLAND DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271071880",
            "telephone_number": "336-918-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCSW ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "GADDY",
        "authorized_official_first_name": "JEANNENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-918-9810"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Contractor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Contractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.