National Provider Identifier Database

MARTHA AND JOSIE JENKINS JR LLC DOB ECSDC
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.


Contact Information

MARTHA AND JOSIE JENKINS JR. LLC DOB ECSDC
999 LAKE HUNTER CIR STE C
MOUNT PLEASANT, SC29464-5427
Phone: 843-216-1070
Fax: 843-216-2470
Website:
Specialty Taxonomy Code
* Custodial Care Facility 311Z00000X

* Indicates primary specialty

NPI Profile & details for MARTHA AND JOSIE JENKINS JR. LLC DOB ECSDC

NPI Number 1689859837
Legal business name
LBN
MARTHA AND JOSIE JENKINS JR. LLC DOB ECSDC
Authorized official MARTHA JENKINS - (OWNER/ ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 01/07/2008
Last updated 01/07/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: 15331
  • SC Medicaid: C94777C
  • SC Medicaid: EN0867
  • SC Medicaid: X6987

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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