1245410943 NPI number — JAR, INC.

Table of content: (NPI 1245410943)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245410943 NPI number — JAR, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JAR, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
AMERICARE IN HOME NURSING
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245410943
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/16/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
816 E 3RD ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FARMVILLE
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23901-1608
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
434-392-7336
Provider Business Mailing Address Fax Number:
434-392-9609

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1441 L ST NW STE 630
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20005-4680
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-912-2080
Provider Business Practice Location Address Fax Number:
703-912-2090
Provider Enumeration Date:
11/09/2007

Additional Information

Authorized Official

Authorized Official Last Name:
WEIMER
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
434-315-5222

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  0156049-9 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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