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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header
 
Name: JAYS SUPPORTIVE CARE LLC
Address: 537 CHESTER PIKE 537 Chester Pike
PROSPECT PARK, PA 19076-1406
Phone: (610) 237-0222
E-mail: joshuaelliott2@live.com
Web Site: N/A

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PROVIDER CERTIFICATION INFORMATION Supporting line for group header
Click here to view Provider Certification Information

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PROVIDER'S PARENT/ REGIONAL OFFICE Supporting line for group header
 
Type: Corporate Office
Name: jays supportive care LLC
Address: 537 CHESTER PIKE
PROSPECT PARK, PA 19076-1406
Phone: (610) 237-0222

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PROVIDER SERVICES AND RATES Supporting line for group header
 
County : Berks
|Service Name / Level |Rate
Companion Services (Basic Staff Support) $3.19 / 15 min.
Companion Services (Level 1) $4.42 / 15 min.
Needs Exception Allowance (NEA)-Adult Res (6400) $1,086.16 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521 $1,382.67 / 1 Day
Res Hab-1 Person-NG 1-Elig $523.00 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports $408.54 / 1 Day
Res Hab-1 Person-NG 2-Elig $606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports $515.01 / 1 Day
Res Hab-1 Person-NG 3-Elig $924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports $746.22 / 1 Day
Res Hab-1 Person-NG 4-Elig $1,118.74 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports $822.23 / 1 Day
Res Hab-2 Person-NG 1-Elig $523.00 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports $408.54 / 1 Day
Res Hab-2 Person-NG 2-Elig $606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports $515.01 / 1 Day
Res Hab-2 Person-NG 3-Elig $685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports $630.70 / 1 Day
Res Hab-2 Person-NG 4-Elig $820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports $689.49 / 1 Day
Res Hab-3 Person-NG 1-Elig $387.76 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports $294.49 / 1 Day
Res Hab-3 Person-NG 2-Elig $441.87 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports $341.21 / 1 Day
Res Hab-3 Person-NG 3-Elig $514.20 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports $440.90 / 1 Day
Res Hab-3 Person-NG 4-Elig $624.74 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports $484.03 / 1 Day
Supplemental Habilitation 1:1 - 15 min $5.77 / 15 min.
Supplemental Habilitation 2:1 - 15 min $11.53 / 15 min.
 
County : Bucks
|Service Name / Level |Rate
Companion Services (Basic Staff Support) $3.19 / 15 min.
Needs Exception Allowance (NEA)-Adult Res (6400) $1,086.16 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521 $1,382.67 / 1 Day
Res Hab-1 Person-NG 1-Elig $523.00 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports $408.54 / 1 Day
Res Hab-1 Person-NG 2-Elig $606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports $515.01 / 1 Day
Res Hab-1 Person-NG 3-Elig $924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports $746.22 / 1 Day
Res Hab-1 Person-NG 4-Elig $1,118.74 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports $822.23 / 1 Day
Res Hab-2 Person-NG 1-Elig $523.00 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports $408.54 / 1 Day
Res Hab-2 Person-NG 2-Elig $606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports $515.01 / 1 Day
Res Hab-2 Person-NG 3-Elig $685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports $630.70 / 1 Day
Res Hab-2 Person-NG 4-Elig $820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports $689.49 / 1 Day
Res Hab-3 Person-NG 1-Elig $387.76 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports $294.49 / 1 Day
Res Hab-3 Person-NG 2-Elig $441.87 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports $341.21 / 1 Day
Res Hab-3 Person-NG 3-Elig $514.20 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports $440.90 / 1 Day
Res Hab-3 Person-NG 4-Elig $624.74 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports $484.03 / 1 Day
 
County : Chester
|Service Name / Level |Rate
Companion Services (Basic Staff Support) $3.19 / 15 min.
Companion Services (Level 1) $4.42 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) LPN $23.74 / 15 min.
Needs Exception Allowance (NEA)-Adult Res (6400) $1,086.16 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521 $1,382.67 / 1 Day
Res Hab-1 Person-NG 1-Elig $523.00 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports $408.54 / 1 Day
Res Hab-1 Person-NG 2-Elig $606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports $515.01 / 1 Day
Res Hab-1 Person-NG 3-Elig $924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports $746.22 / 1 Day
Res Hab-1 Person-NG 4-Elig $1,118.74 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports $822.23 / 1 Day
Res Hab-2 Person-NG 1-Elig $523.00 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports $408.54 / 1 Day
Res Hab-2 Person-NG 2-Elig $606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports $515.01 / 1 Day
Res Hab-2 Person-NG 3-Elig $685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports $630.70 / 1 Day
Res Hab-2 Person-NG 4-Elig $820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports $689.49 / 1 Day
Res Hab-3 Person-NG 1-Elig $387.76 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports $294.49 / 1 Day
Res Hab-3 Person-NG 2-Elig $441.87 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports $341.21 / 1 Day
Res Hab-3 Person-NG 3-Elig $514.20 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports $440.90 / 1 Day
Res Hab-3 Person-NG 4-Elig $624.74 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports $484.03 / 1 Day
Res Hab-Lic-1 Person-Inelig $99.10 / 1 Day
Res Hab-Lic-2 Person-Inelig $54.05 / 1 Day
Res Hab-Lic-3 Person-Inelig $38.74 / 1 Day
Supplemental Habilitation 1:1 - 15 min $5.77 / 15 min.
Supplemental Habilitation 2:1 - 15 min $11.53 / 15 min.
 
County : Dauphin
|Service Name / Level |Rate
Needs Exception Allowance (NEA)-Adult Res (6400) Not Set
Needs Excptn Allowance (NEA)-Adult Res (6400)-521 Not Set
Res Hab-1 Person-NG 4-Elig $1,118.74 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports $822.23 / 1 Day
Res Hab-2 Person-NG 3-Elig $685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports $630.70 / 1 Day
Res Hab-2 Person-NG 4-Elig $820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports $689.49 / 1 Day
Res Hab-Lic-1 Person-Inelig $99.10 / 1 Day
Res Hab-Lic-2 Person-Inelig $54.05 / 1 Day
Supplemental Habilitation 1:1 - 15 min $5.77 / 15 min.
Supplemental Habilitation 2:1 - 15 min $11.53 / 15 min.
 
County : Delaware
|Service Name / Level |Rate
Companion Services (Basic Staff Support) $3.19 / 15 min.
Companion Services (Level 1) $4.42 / 15 min.
Companion Services (Level 2) $7.71 / 15 min.
In-Home & Commnty Supprts (Basic) $4.09 / 15 min.
In-Home & Commnty Supprts (Lvl 1) $5.76 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) $14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) LPN $14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) LPN $23.74 / 15 min.
In-Home & Commnty Supprts (Lvl 3) $19.83 / 15 min.
Needs Exception Allowance (NEA)-Adult Res (6400) $1,086.16 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521 $1,382.67 / 1 Day
Res Hab-1 Person-NG 1-Elig $523.00 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports $408.54 / 1 Day
Res Hab-1 Person-NG 2-Elig $606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports $515.01 / 1 Day
Res Hab-1 Person-NG 3-Elig $924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports $746.22 / 1 Day
Res Hab-1 Person-NG 4-Elig $1,118.74 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports $822.23 / 1 Day
Res Hab-2 Person-NG 1-Elig $523.00 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports $408.54 / 1 Day
Res Hab-2 Person-NG 2-Elig $606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports $515.01 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports $630.70 / 1 Day
Res Hab-2 Person-NG 4-Elig $820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports $689.49 / 1 Day
Res Hab-3 Person-NG 1-Elig $387.76 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports $294.49 / 1 Day
Res Hab-3 Person-NG 2-Elig $441.87 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports $341.21 / 1 Day
Res Hab-3 Person-NG 3-Elig $514.20 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports $440.90 / 1 Day
Res Hab-3 Person-NG 4-Elig $624.74 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports $484.03 / 1 Day
Res Hab-4 Person-NG 1-Elig-w/Day Supports $232.07 / 1 Day
Res Hab-4 Person-NG 2-Elig-w/Day Supports $268.22 / 1 Day
Res Hab-4 Person-NG 3-Elig-w/Day Supports $341.91 / 1 Day
Res Hab-4 Person-NG 4-Elig-w/Day Supports $376.12 / 1 Day
Res Hab-5-8 Person-NG 1-Elig $267.15 / 1 Day
Res Hab-5-8 Person-NG 1-Elig-w/Day Supports $212.03 / 1 Day
Res Hab-5-8 Person-NG 2-Elig $311.99 / 1 Day
Res Hab-5-8 Person-NG 2-Elig-w/Day Supports $250.71 / 1 Day
Res Hab-5-8 Person-NG 3-Elig $360.24 / 1 Day
Res Hab-5-8 Person-NG 3-Elig-w/Day Supports $314.42 / 1 Day
Res Hab-5-8 Person-NG 4-Elig $429.04 / 1 Day
Res Hab-5-8 Person-NG 4-Elig-w/Day Supports $338.58 / 1 Day
Res Hab-Lic-1 Person-Inelig $99.10 / 1 Day
Res Hab-Lic-2 Person-Inelig $54.05 / 1 Day
Res Hab-Lic-3 Person-Inelig $38.74 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1 $304.14 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2 $347.00 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3 $401.47 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4 $481.66 / 1 Day
Res Hab-Lic-4 Person-Inelig $30.10 / 1 Day
Res Hab-Lic-5-8 Person-Inelig $21.58 / 1 Day
Supplemental Habilitation 1:1 - 15 min $5.77 / 15 min.
Supplemental Habilitation 2:1 - 15 min $11.53 / 15 min.
 
County : Montgomery
|Service Name / Level |Rate
Companion Services (Basic Staff Support) $3.19 / 15 min.
Companion Services (Level 2) $7.71 / 15 min.
 
County : Philadelphia
|Service Name / Level |Rate
Companion Services (Basic Staff Support) $3.19 / 15 min.
Companion Services (Level 1) $4.42 / 15 min.
Companion Services (Level 2) $7.71 / 15 min.
In-Home & Commnty Supprts (Basic) $4.09 / 15 min.
In-Home & Commnty Supprts (Lvl 1) $5.76 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) $14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2 Enh) LPN $14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2) $10.28 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) $23.74 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh) LPN $23.74 / 15 min.
In-Home & Commnty Supprts (Lvl 3) $19.83 / 15 min.
Needs Exception Allowance (NEA)-Adult Res (6400) $1,086.16 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521 $1,382.67 / 1 Day
Res Hab-1 Person-NG 1-Elig $523.00 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports $408.54 / 1 Day
Res Hab-1 Person-NG 2-Elig $606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports $515.01 / 1 Day
Res Hab-1 Person-NG 3-Elig $924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports $746.22 / 1 Day
Res Hab-1 Person-NG 4-Elig $1,118.74 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports $822.23 / 1 Day
Res Hab-2 Person-NG 1-Elig $523.00 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports $408.54 / 1 Day
Res Hab-2 Person-NG 2-Elig $606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports $515.01 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports $630.70 / 1 Day
Res Hab-2 Person-NG 4-Elig $820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports $689.49 / 1 Day
Res Hab-3 Person-NG 1-Elig $387.76 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports $294.49 / 1 Day
Res Hab-3 Person-NG 2-Elig $441.87 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports $341.21 / 1 Day
Res Hab-3 Person-NG 3-Elig $514.20 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports $440.90 / 1 Day
Res Hab-3 Person-NG 4-Elig $624.74 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports $484.03 / 1 Day
Res Hab-Lic-1 Person-Inelig $99.10 / 1 Day
Res Hab-Lic-2 Person-Inelig $54.05 / 1 Day
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) $12.30 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD $12.30 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE $12.30 / 15 min.
Supplemental Habilitation 1:1 - 15 min $5.77 / 15 min.
Supplemental Habilitation 2:1 - 15 min $11.53 / 15 min.

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