JADE COMMUNITY RESIDENTIAL CARE LLC – NPI #1942445051
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

JADE COMMUNITY RESIDENTIAL CARE LLC is a community based residential treatment facility located in CHARLESTON, SC. NPPES has assigned the NPI number 1942445051 to JADE COMMUNITY RESIDENTIAL CARE LLC on December 04, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

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 LLC below.

NPI Profile for
JADE COMMUNITY RESIDENTIAL CARE LLC

NPI Number
1942445051
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
Primary location
3 & 5 CUNNINGTON STREET
CHARLESTON, SC 39405
Phone: (843) 853-0299 Fax:
Mailing address
POST OFFICE BOX 21877
3 & 5 CUNNINGTON STREET
CHARLESTON, SC 29405
Phone: (843) 853-0299 Fax:
Organization Subpart
No
Authorized Official
JULIA VELASCO
ADMINISTRATOR/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
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)
SC CRC 1123

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.