Provider Demographics
NPI:1700454527
Name:T-JAY'S NETWORK LLC
Entity type:Organization
Organization Name:T-JAY'S NETWORK LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO AND FOUNDER
Authorized Official - Prefix:MISS
Authorized Official - First Name:TAFAURIA
Authorized Official - Middle Name:JONELLE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:202-486-1625
Mailing Address - Street 1:1138 CHAPLIN ST SE # NA
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-4922
Mailing Address - Country:US
Mailing Address - Phone:202-486-1625
Mailing Address - Fax:
Practice Address - Street 1:1138 CHAPLIN ST SE # NA
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-4922
Practice Address - Country:US
Practice Address - Phone:202-486-1625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-16
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No174200000XOther Service ProvidersMeals
No251K00000XAgenciesPublic Health or Welfare
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No335G00000XSuppliersMedical Foods Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC1023690435OtherNPPES