Jay Home Care Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC3844 Issued in NC

Legal business name

JAY HOME CARE AGENCY LLC

Practice address

4705 Silvertown Rd
Enfield, NC 27823-8146

Phone

(252) 586-3755

Fax

(252) 586-1824

NPI assigned

Jul 31, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia Richardson Silver

Title

Owner/Agency Director

Phone

(252) 586-3755

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Jay Home Care Agency LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jay Home Care Agency LLC

  • In Home Supportive Care Agency
  • Enfield, NC
  • NPI 1548492937
  NPD tax ID

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1962633461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 334",
            "city": "HOLLISTER",
            "state": "NC",
            "postal_code": "278440334",
            "telephone_number": "252-586-3755",
            "fax_number": "252-586-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 SILVERTOWN RD",
            "city": "ENFIELD",
            "state": "NC",
            "postal_code": "278238146",
            "telephone_number": "252-586-3755",
            "fax_number": "252-586-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "SILVER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "RICHARDSON",
        "authorized_official_title_or_position": "OWNER/AGENCY DIRECTOR",
        "authorized_official_telephone_number": "252-586-3755",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC3844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601873",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Hume Faulkner, PA-C, MPH
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• Jay Home Care Agency LLC
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• Life, Inc.
• Life, Inc.
• Tonja McGee

• All providers in Enfield, NC
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.