MARTHA AND JOSIE JENKINS JR. LLC DOB ECSDC (NPI# 1689859837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689859837 |
Entity Type | Organization |
Organization Name | MARTHA AND JOSIE JENKINS JR. LLC DOB ECSDC |
Practice Address |
999 Lake Hunter Cir Ste C Mount Pleasant SC 29464-5427 |
Practice Telephone | 8432161070 |
Practice Fax Number | 8432162470 |
Mailing Telephone | 8432161070 |
Mailing Fax Number | 8432162470 |
Enumeration Date | 2008-01-07 |
Last Update Date | 2008-01-07 |
Authorized Official Name | MRS. MARTHA E. JENKINS (OWNER/ ADMINISTRATOR) |
Authorized Official Telephone | 8432161070 |
Authorized Official Credential | LPN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311Z00000X | Custodial Care Facility | 15331 | SC | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | C94777C | 05 | |
SC | EN0867 | 05 | |
SC | X6987 | 05 |
Street Address |
999 LAKE HUNTER CIR STE C |
City | MOUNT PLEASANT |
State | SC |
Zip Code | 29464-5427 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831228105 | East Cooper Senior Day Care, LLC | Clinic/Center | 999 Lake Hunter Cir Ste C, Mount Pleasant, SC 29464-5427 | 2007-03-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
Find all providers in zip 29464 |
Taxonomy Code | 311Z00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831747500 | Rhonda L Owens | Custodial Care Facility | 3819 S Wise Rd, Mount Pleasant, MI 48858-8100 | 2019-08-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558990549 | South Island Living LLC | Custodial Care Facility | 2902 S Island Rd, Georgetown, SC 29440-4420 | 2020-04-02 |
1568956209 | Carolina Homeless Veterans, Inc | Custodial Care Facility | 1707 Mcleod Ave, Charleston, SC 29412-2922 | 2018-06-17 |
1477909018 | South Carolina Department of Health and Environmental Control | Custodial Care Facility | 1411 Dordie Cir, Florence, SC 29506-7368 | 2016-05-12 |
1588007660 | Advanced Adult Care Services LLC | Custodial Care Facility | 114 Chownings Ln, Goose Creek, SC 29445-5432 | 2013-04-09 |
1013105071 | The Wiley Group of Sc, LLC | Custodial Care Facility | 1500 Woodrow St, Columbia, SC 29205-1233 | 2007-10-04 |
1215154836 | Ebenezer Social Action and Community Development Enterprise | Custodial Care Facility | 44 Nassau St, Charleston, SC 29403-5511 | 2007-04-18 |
1932296365 | Families Incorporated | Custodial Care Facility | 1207 Hampton Avenue Extension, Greenville, SC 29601 | 2006-10-06 |
1790742963 | Lean On Me Home Care Service, LLC | Custodial Care Facility | 209 S Mill St, Manning, SC 29102-3129 | 2006-04-29 |
City | MOUNT PLEASANT |
Zip Code | 29464 |
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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.