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Contact Information

JADE COMMUNITY RESIDENTIAL CARE LLC
9 CUNNINGTON STREET
CHARLESTON, SC29413
 Phone: 843-853-0299
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for JADE COMMUNITY RESIDENTIAL CARE LLC

NPI Number 1386880425
LBN Legal business name JADE COMMUNITY RESIDENTIAL CARE LLC
Authorized official JULIA VELASCO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/19/2008
Last updated 12/19/2008 - About 17 years ago
Identifiers
SC License # CRC1125
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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