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MR. JAYSHELL RANDALE HOLTS JR.
NPI 1134710098
Case Manager/Care Coordinator in Los Angeles, CA

Active since February 02, 2021
2122 W 107TH ST, LOS ANGELES, CA 90047(323) 696-9749 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jayshell Randale Holts Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JAYSHELL RANDALE HOLTS JR. (NPI 1134710098) is an individual case manager/care coordinator provider in Los Angeles, California and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1134710098
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameMR. JAYSHELL RANDALE HOLTS JR.
Location Address2122 W 107TH STLos Angeles, CA 90047-4305
Mailing Address2122 W 107th StLos Angeles, CA 90047-4305 · (323) 696-9749
Phone(323) 696-9749
Sole ProprietorNo
Enumeration DateFebruary 2, 2021
NPPES CertifiedDecember 21, 2020
✔ NPI 1134710098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
2122 W 107TH ST, Los Angeles, CA 90047
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEFANI LIPSEY
Case Manager/Care Coordinator
2122 W 107TH ST
LOS ANGELES, CA 90047
Los Angeles County (323) 696-9749
JAMEKA JOHNSON
Case Manager/Care Coordinator
2122 W 107TH ST
LOS ANGELES, CA 90047
Los Angeles County (323) 696-9749
ALMA BOCANEGRA
Case Manager/Care Coordinator
2122 W 107TH ST
LOS ANGELES, CA 90047
Los Angeles County No phone listed
DONNETIA MAYERS
Case Manager/Care Coordinator
2122 W 107TH ST
LOS ANGELES, CA 90047
Los Angeles County (323) 696-9749
DELIANN-LUCILE CORPORATION
Residential Treatment Facility, Emotionally Disturbed Children
2122 W 107TH ST
LOS ANGELES, CA 90047
Los Angeles County (323) 696-9749
KENSHASA TSHOMBE CONLEY
Marriage & Family Therapist
2122 W 107TH ST
LOS ANGELES, CA 90047
Los Angeles County (323) 696-9749

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jayshell Holts's NPI number?

The NPI number for Jayshell Holts is 1134710098. It was assigned to this individual provider in the NPPES registry on February 2, 2021.

Where is Jayshell Holts located?

Jayshell Holts practices at 2122 W 107th St, Los Angeles, CA 90047. The listed phone number is (323) 696-9749.

What is Jayshell Holts's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jayshell Holts was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.