OrganizationActive
Jump Start Home Care, LLC
NPI 1073202909 · Early Intervention Provider Agency · Providence Forge, VA
Provider details
- NPI number
- 1073202909
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Daniel Feivor, Co-Owner(804) 557-5255
Specialties & taxonomies
Agencies
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Practice location
5373 Aristocrat Dr
Providence Forge, VA 23140-4443
Phone: (804) 557-5255
Fax: (804) 557-5255
Approximate (ZIP-level) locationGet directions
Mailing address
5373 Aristocrat Dr
Providence Forge, VA 23140-4443
Registry dates
- Enumerated
- 2023-05-05
- Last updated
- 2023-08-03
- Certified
- 2023-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.