Organization Active NPI

C&J Home Care LLC

  • Case Management Agency
  • Martinsville, VA
National Provider Identifier
1962871772
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

Updated by the provider on Sep 22, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0172707298MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
C J Home Care2 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.

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.

Verify at the official NPI Registry.