JADE COMMUNITY RESIDENTIAL CARE II
NPI 1366688400
Assisted Living Facility in Charleston, SC

Active since December 19, 2008
7A & 7B CUNNINGTON ST, CHARLESTON, SC 29413(843) 853-0299 Get Directions Write a Review

NPPES record last updated: December 19, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Assisted Living Facility

About JADE COMMUNITY RESIDENTIAL CARE II

This page provides the complete NPI Profile along with additional information for Jade Community Residential Care Ii, a provider established in Charleston, South Carolina operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1366688400 assigned on December 2008. The practitioner's primary taxonomy code is 310400000X with license number CRC1124 (SC). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Jade Community Residential Care Ii. The authorized official of this NPI record is Ms. Julia M. Velasco (Owner)

NPI
1366688400 Verify this NPI
Provider Legal Name
JADE COMMUNITY RESIDENTIAL CARE LLC
Other Organization Name
JADE COMMUNITY RESIDENTIAL CARE II
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
7A & 7B CUNNINGTON ST CHARLESTON, SC 29413
Location Phone
(843) 853-0299
Mailing Address
PO BOX 21877 7A & 7B CUNNINGTON ST CHARLESTON, SC 29413
Mailing Phone
(843) 853-0299
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-19-2008
Last Update Date
12-19-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
CRC1124
License State
SC
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. JULIA M. VELASCO

Authorized Official Title
OWNER
Authorized Official Phone
(843) 853-6885

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366688400, enumerated as an "organization" on December 19, 2008.

The provider is located at 7A & 7B CUNNINGTON ST CHARLESTON, SC 29413 and the phone number is (843) 853-0299.

Assisted Living Facility with taxonomy code 310400000X.