JJJ YAUT, LLC (NPI# 1336748383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336748383 |
| Entity Type | Organization |
| Organization Name | JJJ YAUT, LLC |
| Practice Address |
4806 Ny 52 Jeffersonville NY 12748 |
| Mailing Address |
2357 60th St Brooklyn NY 11204-2689 |
| Practice Telephone | 8454824381 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | JENNIFER GRAJALES (PROJECT MANAGER) |
| Authorized Official Telephone | 3479884535 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Jeff Senior Living | Doing Business As Name - Organization |
| Jeffersonville Senior Living | Doing Business As Name - Organization |
| Street Address |
4806 NY 52 |
| City | JEFFERSONVILLE |
| State | NY |
| Zip Code | 12748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548786676 | John Goodfriend | Non-emergency Medical Transport (VAN) | 4 Durr Road, Jeffersonville, NY 12748 | 2017-08-21 |
| 1164853321 | Platinum Home Heatlh Care | Health Maintenance Organization | 63 Jefferson Ave., Jeffersonville, NY 12748 | 2013-12-12 |
| 1043513989 | Bodenstein Chiropractic | Chiropractor | 4895 State Route 52, Jeffersonville, NY 12748 | 2010-12-15 |
| 1437483245 | Janet Wagner | Occupational Therapy Assistant | 16 Old County Rd 128, Jeffersonville, NY 12748 | 2009-09-25 |
| 1902992415 | David Allen Sager | Chiropractor | 4895 St Rt 52, Jeffersonville, NY 12748 | 2006-10-04 |
| 1982624912 | Jerome Edward Triolo | Dentist | 17 Maple Avenue, Jeffersonville, NY 12748 | 2006-07-20 |
| 1447237441 | Shantilal Shah | Internal Medicine | 9 Terrace Ave, Jeffersonville, NY 12748 | 2005-12-30 |
| 1124002936 | Jeffersonville Volunteer First Aid Corps Inc | Ambulance | 49 Callicoon Center Rd, Jeffersonville, NY 12748 | 2005-12-05 |
| 1609369107 | Eyes On Main St. Optometry Pllc | Optometrist | 4895 State Route 52, Jeffersonville, NY 12748 | 2018-06-08 |
| 1366656019 | Joseph A Fiorille | Pharmacist | 4892 State Route 52, Jeffersonville, NY 12748-0617 | 2007-05-10 |
| Find all providers in zip 12748 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557828 | Kenwood Manor Inc | Custodial Care Facility | 141 Rockefeller Rd, Delmar, NY 12054-2221 | 2020-10-27 |
| 1528683463 | Hanmaum Daycare LLC | Custodial Care Facility | 3238 148th St, Flushing, NY 11354-3259 | 2020-06-16 |
| 1538700158 | Parkview Hfa, Inc. | Custodial Care Facility | 3200 Bronx Blvd, Bronx, NY 10467-6305 | 2019-10-04 |
| 1457903437 | Prime Social Day Care | Custodial Care Facility | 1918 1st Ave 1st Floor, New York, NY 10029 | 2019-07-10 |
| 1477116457 | Caroline S Reuben | Custodial Care Facility | 17108 Jamaica Ave, Jamaica, NY 11432-5428 | 2019-04-16 |
| 1255898979 | Yan K Chan | Custodial Care Facility | 6504 Bay Pkwy, Brooklyn, NY 11204-3931 | 2019-02-28 |
| 1609357284 | Sun Sunshine Adult Daycare Ctr Inc | Custodial Care Facility | 738 58th St, Brooklyn, NY 11220-3917 | 2018-08-22 |
| 1285113548 | The House of Hope | Custodial Care Facility | 31 Standish Rd, Valley Stream, NY 11580-1131 | 2018-08-08 |
| 1083112940 | True Quality Care | Custodial Care Facility | 1616 Chili Ave, Rochester, NY 14624-3246 | 2018-01-25 |
| 1225547060 | Mark R LLC | Custodial Care Facility | 9608 Northern Blvd Fl 1, Corona, NY 11368-1046 | 2017-09-25 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSONVILLE |
| Zip Code | 12748 |
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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.