Active NPI
C&J Home Care LLC
- Case Management Agency
- Martinsville, VA
National Provider Identifier
1962871772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- C&J HOME CARE LLC
- Practice address
- 100 Beaver St S
Martinsville, VA 24112-6318 - Phone
- (276) 229-0346
- NPI assigned
- Sep 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Priscilla Jenkins
- Title
- Co-Owner/Service Facilitator
- Phone
- (276) 229-0346
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
100 Beaver St S
Martinsville, VA 24112-6318
Mailing address
PO Box 3145
Martinsville, VA 24115-3145
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0172707298 | Medicaid | VA |
National Provider Directory
National Provider Directory- Tax ID family
- C J Home Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Reidsville, NC
- NPI 1679985568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442880000000",
"number": "1962871772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3145",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241153145",
"fax_number": "877-395-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BEAVER ST S",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241126318",
"telephone_number": "276-229-0346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C&J HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-22",
"last_updated": "2015-09-22",
"status": "A",
"authorized_official_last_name": "JENKINS",
"authorized_official_first_name": "PRISCILLA",
"authorized_official_title_or_position": "CO-OWNER/SERVICE FACILITATOR",
"authorized_official_telephone_number": "276-229-0346"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0172707298",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Martinsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.