JADE COMMUNITY RESIDENTIAL CARE III – NPI #1386880425
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.

JADE COMMUNITY RESIDENTIAL CARE III is an assisted living facility located in CHARLESTON, SC. NPPES has assigned the NPI number 1386880425 to JADE COMMUNITY RESIDENTIAL CARE III on December 19, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JADE COMMUNITY RESIDENTIAL CARE III” is a dba name, the actual legal business name for this organization is JADE COMMUNITY RESIDENTIAL CARE LLC. The primary taxonomy selected by this provider is 310400000X from the Health Care Provider Taxonomy code set, which is classified as Assisted Living Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JADE COMMUNITY RESIDENTIAL CARE III below.

NPI Profile for
JADE COMMUNITY RESIDENTIAL CARE LLC

NPI Number
1386880425
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JADE COMMUNITY RESIDENTIAL CARE LLC
Doing Business As (dba): JADE COMMUNITY RESIDENTIAL CARE III
Primary location
9 CUNNINGTON STREET
CHARLESTON, SC 29413
Phone: (843) 853-0299 Fax:
Mailing address
PO BOX 21877
9 CUNNINGTON STREET
CHARLESTON, SC 29413
Phone: (843) 853-0299 Fax:
Organization Subpart
No
Authorized Official
JULIA VELASCO
OWNER
Phone: (843) 853-6885
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
310400000X
- Assisted Living Facility (Primary)
SC CRC1125

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.