Jasper & Sapphire LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

JASPER & SAPPHIRE LLC

Practice address

4055 Cane Ridge Pkwy # B304
Antioch, TN 37013-4730

Phone

(629) 294-0656

NPI assigned

Sep 9, 2026

Last updated

Sep 9, 2026By 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

Olushola Joy Kukoyi

Title

Managing Member

Phone

(615) 295-5648

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1942110127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 CANE RIDGE PKWY",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370134730",
            "telephone_number": "629-294-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 CANE RIDGE PKWY # B304",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370134730",
            "telephone_number": "629-294-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER & SAPPHIRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "KUKOYI",
        "authorized_official_first_name": "OLUSHOLA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "615-295-5648"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Antioch, TN
• Providers in Antioch, TN by specialty
• Community/Behavioral Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.