NPI 1073202909

Jump Start Home Care, LLC

Organisation Early Intervention Provider Agency Providence Forge, VA

Practice location

Address: 5373 Aristocrat Dr, Providence Forge, VA 23140-4443
Phone: (804) 557-5255
Fax: (804) 557-5255

Authorised official

Name: Daniel Feivor
Title: Co-Owner
Phone: (804) 557-5255

Registered specialties (3)

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

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Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X

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Speech-Language Pathologist

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X

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Registry record

NPI: 1073202909
Entity type: Organization
NPI issued: 5 May 2023
Record last updated: 3 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.