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JESUS IS LORD HEALTHCARE SERVICES INC. NPI 1346451366


NPI Information

NPI: 1346451366
Provider Name: JESUS IS LORD HEALTHCARE SERVICES, INC.
Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
2764 TOBACCO RD
HEPHZIBAH, GA
ZIP 30815
Phone: (706) 790-5836
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JESUS IS LORD HEALTHCARE SERVICES, INC. is a home health in Hephzibah, GA. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. JESUS IS LORD HEALTHCARE SERVICES, INC. NPI is 1346451366. The provider is registered as an organization entity type.

The provider's business location address is:

2764 TOBACCO RD
HEPHZIBAH, GA
ZIP 30815-014
Phone: (706) 790-5836
Fax: (706) 790-0767

The provider's authorized official is Dorothy Jackson .
The authorized official title is Ceo and has the following contact phone number (706) 790-0767.

The enumeration date for this NPI number is 5/24/2007 and was last updated on 6/2/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome Health021-R-0019GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000804889DMEDICAIDGEORGIA
2000804889KMEDICAIDGEORGIA
3000804889AMEDICAIDGEORGIA
4000804889BMEDICAIDGEORGIA
5000804889HMEDICAIDGEORGIA
6000804889GMEDICAIDGEORGIA
7000804889CMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.