JAN'S RESIDENTIAL HOMES (NPI# 1700266277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700266277 |
| Entity Type | Organization |
| Organization Name | JAN'S RESIDENTIAL HOMES |
| Practice Address |
307 N High St Blackstone VA 23824-1421 |
| Practice Telephone | 4346761372 |
| Practice Fax Number | 4346761062 |
| Mailing Telephone | 4346761372 |
| Mailing Fax Number | 4346761062 |
| Enumeration Date | 2015-05-31 |
| Last Update Date | 2015-05-31 |
| Authorized Official Name | JUDY BENNETT (ADMINISTRATOR) |
| Authorized Official Telephone | 4344300993 |
| Authorized Official Credential | ADMINISTRATOR/CN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | VA | Residential Treatment Facilities | |
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
VA | Nursing & Custodial Care Facilities |
| Street Address |
307 N HIGH ST |
| City | BLACKSTONE |
| State | VA |
| Zip Code | 23824-1421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447667753 | William White Jr. | Physician Assistant | Building 1876 Fort Pickett, Virginia Army National Guard, Blackstone, VA 23824 | 2014-07-18 |
| 1114248788 | Precious R. White | Physical Therapy Assistant | 703 Falls St., Blackstone, VA 23824 | 2010-06-18 |
| 1720224991 | Family Preservation Services, Inc | Community/Behavioral Health | 615, Blackstone, VA 23824 | 2008-12-18 |
| 1053440453 | Rhonda Daniels Wynder | Physician Assistant | Jfhq Medical Command, Bldg 306, Fort Pickett, VA 23824 | 2007-03-04 |
| 1578651097 | Commonwealth Vision Center P.C. | Optometrist | 1447 South Main Street, Blackstone, VA 23824 | 2006-10-10 |
| 1548293194 | Bon Secours-virginia Healthsource | Family Medicine | 213 N Main St, Blackstone, VA 23824 | 2006-07-08 |
| 1326038720 | Blackstone Life Care, LLC | Skilled Nursing Facility | 900 S Main St, Blackstone, VA 23824 | 2005-10-26 |
| 1134610918 | Bennett Logistics, LLC | Transportation Broker | 212 Gravatt Ave, Blackstone, VA 23824-1210 | 2018-05-28 |
| 1982670261 | James L. Bradshaw | Dentist | 131 N Main St, Blackstone, VA 23824-1423 | 2006-02-27 |
| 1235125360 | Spencer's Drug Store, Inc. | Durable Medical Equipment & Medical Supplies | 100 N Main St, Blackstone, VA 23824-1424 | 2005-09-23 |
| Find all providers in zip 23824 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627070 | Home & Heart LLC | Custodial Care Facility | 317 Bullock St, Suffolk, VA 23434-3109 | 2020-10-21 |
| 1477160778 | Able Arms | Custodial Care Facility | 312 Loudon St, Lynchburg, VA 24503-2832 | 2020-09-30 |
| 1073120242 | Peace In Life, LLC. | Custodial Care Facility | 3101 American Legion Road 21a, Chesapeake, VA 23321 | 2020-09-30 |
| 1568076719 | Care First Resident Services, LLC | Custodial Care Facility | 8813 Cather Ave, Manassas, VA 20110-6105 | 2020-09-04 |
| 1174157861 | Andrea's Caring Corner, LLC | Custodial Care Facility | 703 Argyle St, Portsmouth, VA 23704-6611 | 2020-03-03 |
| 1184262602 | Hagir Hassan Suliman Eldmiyati | Custodial Care Facility | 1916 N Parham Rd, Richmond, VA 23229-4023 | 2019-12-16 |
| 1073160578 | All People Home LLC | Custodial Care Facility | 8213 Calm Pond Ct, Manassas Park, VA 20111-2343 | 2019-08-20 |
| 1033693395 | Daniels Residential Living | Custodial Care Facility | 315 W Constance Rd # 252, Suffolk, VA 23434-4968 | 2018-09-21 |
| 1063964831 | Caring Hands Healthcare Inc | Custodial Care Facility | 6223 Greeley Blvd, Springfield, VA 22152-1941 | 2016-10-27 |
| 1376092502 | Anab Jibril | Custodial Care Facility | 11249 Kessler Pl, Manassas, VA 20109-7778 | 2016-09-29 |
| Find all providers with the same taxonomy | ||||
| City | BLACKSTONE |
| Zip Code | 23824 |
Please comment or provide details below to improve the information on JAN'S RESIDENTIAL HOMES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.