KJM ENTERPRISES INC (NPI# 1588789036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588789036 |
| Entity Type | Organization |
| Organization Name | KJM ENTERPRISES INC |
| Other Organization Name | KJM HOME HEALTH CARE AGENCY |
| Practice Address |
111 N Third Street Watertown WI 53094 |
| Mailing Address |
Po Box 423 Watertown WI 53094 |
| Practice Telephone | 9202618789 |
| Practice Fax Number | 9202620952 |
| Mailing Telephone | 9202618789 |
| Mailing Fax Number | 9202620952 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JUDITH M MUELLER (ADMINISTRATOR) |
| Authorized Official Telephone | 9202618789 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 135 | WI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41511300 | 05 |
| Other Name | Type Code |
|---|---|
| KJM Home Health Care Agency | Doing Business As Name - Organization |
| Street Address |
111 N THIRD STREET |
| City | WATERTOWN |
| State | WI |
| Zip Code | 53094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861025371 | Addie Marie Littrell | Pharmacist | 624 S Church Street, Pharmacy Department, Watertown, WI 53094 | 2020-02-13 |
| 1144788274 | Robert Scott Johnson | Dentist | 314 W. Main St., Watertown, WI 53094 | 2019-03-07 |
| 1043785264 | Christian Long | Physical Therapist | Watertown Regional Medical Center, 1684 S Church St, Watertown, WI 53094 | 2018-10-04 |
| 1558566497 | Georgia E Meyer | Occupational Therapist | Rahab In Motion, 615 East Main St Suite B, Watertown, WI 53094 | 2007-06-20 |
| 1114085412 | Paul R Sommers Dds Sc | Dentist | 121 Oakridge Court, Watertown, WI 53094 | 2006-12-05 |
| 1063593614 | Stein Optical Inc | Eyewear Supplier (Equipment, not the service) | 622 S Church St, Watertown, WI 53094 | 2006-10-18 |
| 1598851800 | David J Groh | Dentist | 1521 Doctors Ct, Watertown, WI 53094 | 2006-10-05 |
| 1861594251 | Robert Delano Heinen | General Practice | 700 Hoffmann Dr, Bethesda Lutheran Homes and Services, Watertown, WI 53094 | 2006-09-05 |
| 1669483897 | Donald Alan Wollheim | Surgery | 1911 Gateway Drive, Watertown, WI 53094 | 2006-08-11 |
| 1982612453 | Neal Aaron Petersen | Social Worker | 1315 W Main Street, Watertown, WI 53094 | 2006-08-03 |
| Find all providers in zip 53094 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285178673 | Adaptive Homecare LLC | Home Health | 152 Robbins Rd, Watertown, MA 02472-4922 | 2016-12-05 |
| 1285889089 | Quality Visiting Nurses LLC | Home Health | 470 Straits Tpke, Watertown, CT 06795-3323 | 2008-11-20 |
| 1255300299 | Caring Companions LLC | Home Health | 507 S 5th St, Watertown, WI 53094-4608 | 2006-03-14 |
| 1902880016 | Mount Auburn Hospital | Home Health | 1 Arsenal Market Pl, Watertown, MA 02472-5018 | 2005-12-01 |
| 1972505154 | Watertown Regional Medical Center, Inc | Home Health | 125 Hospital Dr, Watertown, WI 53098-3303 | 2005-06-01 |
| 1043213283 | Jefferson County | Home Health | 531 Meade St, Watertown, NY 13601-1225 | 2005-05-23 |
| 1750384939 | Vna Health At Home, Inc | Home Health | 27 Siemon Company Dr, Ste 101, Watertown, CT 06795-2654 | 2005-05-23 |
| 1477006716 | Allume Home Care LLC | Home Health | 1044 Main St, 12, Watertown, CT 06795-2930 | 2016-08-03 |
| 1265880413 | Prospect Waterbury Home Health, Inc. | Home Health | 27 Siemon Company Dr, Suite 101, Watertown, CT 06795-2654 | 2016-05-27 |
| 1588036768 | Milestones Children's Center | Home Health | 16783 Ives Street Ext, Watertown, NY 13601-5312 | 2015-10-27 |
| Find all providers in WATERTOWN | ||||
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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.