JAYS RESIDENTIAL, LLC - GRANDVIEW II (NPI# 1225227515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225227515 |
| Entity Type | Organization |
| Organization Name | JAYS RESIDENTIAL, LLC - GRANDVIEW II |
| Practice Address |
12731 Richmond Ave Grandview MO 64030-2160 |
| Practice Telephone | 8164566461 |
| Practice Fax Number | 8169650131 |
| Mailing Telephone | 8164566461 |
| Mailing Fax Number | 8169650131 |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2007-10-23 |
| Authorized Official Name | JASON L RUDOLPH (DIRECTOR) |
| Authorized Official Telephone | 8164566461 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
12731 RICHMOND AVE |
| City | GRANDVIEW |
| State | MO |
| Zip Code | 64030-2160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174661177 | Jays Residential, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12731 Richmond Ave, Grandview, MO 64030-2160 | 2007-02-02 |
| 1285751826 | Jays Residential Isl | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12731 Richmond Ave, Grandview, MO 64030-2160 | 2007-03-26 |
| 1639296270 | Jays Residential LLC - Trevis House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12731 Richmond Ave, Grandview, MO 64030-2160 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477039402 | Garrett Wayne Nicol | Physical Therapist | 7201 E 147th St Ste 120, Grandview, MO 64030 | 2018-07-12 |
| 1235631771 | Rashida Balqees | Family Medicine | 13013 Fuller Ave A, Grandview, MO 64030 | 2018-03-01 |
| 1659890721 | Job One Careers | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12604 E 3rd Street, Grandview, MO 64030 | 2017-09-11 |
| 1144766080 | Megan Little | Naturopath | 12817 Crystal Ave, Grandview, MO 64030 | 2017-01-17 |
| 1578925095 | Heart of America Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 4338 E 142nd St, Grandview, MO 64030 | 2016-03-23 |
| 1568856888 | Barbara Lynn Cavanaugh | Nurse Practitioner | 13013 Fullerave, Suite A, Grandview, MO 64030 | 2015-03-25 |
| 1225478886 | Essential Developments L.L.C. | Day Training, Developmentally Disabled Services | 14908 Grand Summit Blvd Apt 202, Grandview, MO 64030 | 2013-06-27 |
| 1154685956 | Colin Tollerton Smith Jr. | Dentist | 13051 S Hwy 71, Grandview, MO 64030 | 2012-06-27 |
| 1841448750 | Concentra Health Services, Inc. | Clinic/Center | 12220 A S Blueridge Blvd., Grand View, MO 64030 | 2008-09-04 |
| 1295919363 | American Current Care PC | Clinic/Center | 12220a South Blueridge Blvd., Grandview, MO 64030 | 2007-12-24 |
| Find all providers in zip 64030 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871779280 | Jackson Style Adult Day Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12707 2nd St, Grandview, MO 64030-2207 | 2008-01-15 |
| 1124233770 | Home Away From Home Healthcare Facility | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 13323 Crystal Ave, Grandview, MO 64030-3338 | 2007-05-14 |
| 1437379047 | Nova Center Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12604 3rd St, Grandview, MO 64030-1616 | 2007-04-26 |
| 1720208333 | Nova Center Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12604 South 3rd Street, Grandview, MO 64030-1616 | 2007-04-26 |
| 1386701613 | Jackson Style Agency, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 213 Blue Ridge Ext, Grandview, MO 64030-1603 | 2007-01-03 |
| 1174778492 | Nova Center Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12604 3rd St, Grandview, MO 64030-1616 | 2008-12-01 |
| 1316132756 | Nova Centrer Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12604 3rd St, Grandview, MO 64030-1616 | 2007-09-10 |
| 1497940837 | Nova Center Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12604 3rd St, Grandview, MO 64030-1616 | 2007-09-10 |
| 1770784290 | Dixie Hardman LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 13407 Byars Rd, Grandview, MO 64030-3307 | 2007-05-31 |
| 1801016415 | Nova Center Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12604 3rd St, Grandview, MO 64030-1616 | 2007-04-26 |
| Find all providers in GRANDVIEW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.