Provider Demographics
NPI:1982630562
Name:RONALD M. JEWELL
Entity Type:Organization
Organization Name:RONALD M. JEWELL
Other - Org Name:NO PLACE LIKE HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:JEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:864-224-3430
Mailing Address - Street 1:211 E CALHOUN ST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-5542
Mailing Address - Country:US
Mailing Address - Phone:864-224-3430
Mailing Address - Fax:864-224-2301
Practice Address - Street 1:211 E CALHOUN ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-5542
Practice Address - Country:US
Practice Address - Phone:864-224-3430
Practice Address - Fax:864-224-2301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCEX0502Medicaid
SCEXG085Medicaid