J & J ASSISTED LIVING LLC (NPI# 1982201935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982201935 |
Entity Type | Organization |
Organization Name | J & J ASSISTED LIVING LLC |
Other Organization Name | J & J RESIDENTIAL CARE FACILITY II |
Practice Address |
104 Wesbecher Ln Marble Hill MO 63764 |
Mailing Address |
Po Box 378 Marble Hill MO 63764-0378 |
Practice Telephone | 5732384602 |
Practice Fax Number | 5732383233 |
Mailing Telephone | 5732384602 |
Mailing Fax Number | 5732383233 |
Enumeration Date | 2020-10-02 |
Last Update Date | 2020-10-26 |
Authorized Official Name | BARBARA JEAN GREBING (RCAL ADMINISTRATOR/OWNER) |
Authorized Official Telephone | 5734508047 |
Authorized Official Credential | BS |
Is Organization Subpart | Y |
Parent Organization Name | J & J ASSISTED LIVING LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
J & J Residential Care Facility II | Doing Business As Name - Organization |
Street Address |
104 WESBECHER LN |
City | MARBLE HILL |
State | MO |
Zip Code | 63764 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497310932 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 201 Highway 34 West, Marble Hill, MO 63764 | 2019-05-09 |
1467950196 | Ronald Brand | Counselor | 103 El Nathan Drive, Marble Hill, MO 63764 | 2018-01-29 |
1053827964 | Dianas Boarding Home Inc | Community Based Residential Treatment Facility, Mental Illness | Hc 64, Box 4683, Marble Hill, MO 63764 | 2017-12-15 |
1699293274 | Alyssa Naschell Grado | Physical Therapist | 702-mo 34, Marble Hill, MO 63764 | 2017-09-05 |
1063969699 | Julie Elfrink | Registered Nurse | 107 N. Hwy 51, Marble Hill, MO 63764 | 2016-09-01 |
1194022921 | Suzanne Raye Matthews | Nurse Practitioner | 307 Broadway, Marble Hill, MO 63764 | 2011-02-14 |
1619281789 | Ryan Michael Sutterer | Optometrist | 503 W. Main Street, Marble Hill, MO 63764 | 2010-08-01 |
1215267976 | L. Mark Milde | Dentist | 101 First St., Marble Hill, MO 63764 | 2009-12-31 |
1194985739 | J & J Assistive Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 104 Wesbecher, Marble, MO 63764 | 2008-06-16 |
1962565499 | Cross Trails Medical Center | Clinic/Center | 109 Hwy 51 North, Marble Hill, MO 63764 | 2006-12-18 |
Find all providers in zip 63764 |
Taxonomy Code | 3104A0625X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
Specialization | Assisted Living, Mental Illness |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760669626 | J & J Assisted Living | Assisted Living Facility | 104 Mound St, Marble Hill, MO 63764 | 2008-01-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497356919 | Cardinal Ritter Institute-resident Services Corp | Assisted Living Facility | 5890 Eichelberger St, Saint Louis, MO 63109-3454 | 2020-11-02 |
1831798214 | Smith Care Residential, LLC | Assisted Living Facility | 130 W Culton St, Warrensburg, MO 64093-1720 | 2020-10-18 |
1063010890 | Mitchell's Care Center LLC | Assisted Living Facility | 1134 W Norton Rd, Springfield, MO 65803-1070 | 2020-10-14 |
1144862350 | Humble Abode Residence | Assisted Living Facility | 18 S Duchesne Dr, Florissant, MO 63031-8112 | 2019-10-09 |
1700437258 | Midwestern Medical Consultants LLC | Assisted Living Facility | 227 W. Franklin St, Liberty, MO 64068 | 2019-09-26 |
1790343804 | Calvin Akins | Assisted Living Facility | 4432 W Belle Pl, Saint Louis, MO 63108-2617 | 2019-06-04 |
1245893296 | Michele Vinson Investments LLC Dba Bolivar Manor House | Assisted Living Facility | 404 E Broadway St, Bolivar, MO 65613-2019 | 2019-04-16 |
1073079091 | Homes That Care Co. | Assisted Living Facility | 4144 Lindell Blvd Ste 312, Saint Louis, MO 63108-2953 | 2019-02-14 |
1609387240 | Tammy Michelle Stone | Assisted Living Facility | 431 Ne County Road 10564, Adrian, MO 64720-5111 | 2017-10-23 |
1124550363 | Peachs, Inc | Assisted Living Facility | 301 Watts St, Park Hills, MO 63601-1839 | 2017-03-28 |
Find all providers with the same taxonomy |
City | MARBLE HILL |
Zip Code | 63764 |
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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.