National Provider Identifier Database

JADE COMMUNITY RESIDENTIAL CARE LLC
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.


Contact Information

JADE COMMUNITY RESIDENTIAL CARE LLC
9 CUNNINGTON STREET
CHARLESTON, SC29413
Phone: 843-853-0299
Fax:
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X

* Indicates primary specialty

NPI Profile & details for JADE COMMUNITY RESIDENTIAL CARE LLC

NPI Number 1386880425
Legal business name
LBN
JADE COMMUNITY RESIDENTIAL CARE LLC
Authorized official JULIA VELASCO - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/19/2008
Last updated 12/19/2008 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: CRC1125

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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