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JJR ENTERPRISES INC NPI 1255405056


NPI Information

NPI: 1255405056
Provider Name: JJR ENTERPRISES INC

Doing Business As: STUART ESTATES

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
13 NORTHBROOK DR
MC LEANSBORO, IL
ZIP 62859
Phone: (618) 643-3566
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JJR ENTERPRISES INC is an intermediate care facility mentally retarded in Mc Leansboro, IL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. JJR ENTERPRISES INC NPI is 1255405056. The provider is registered as an organization entity type.
The provider Is Doing Business As Stuart Estates.

The provider's business location address is:

13 NORTHBROOK DR
MC LEANSBORO, IL
ZIP 62859-342
Phone: (618) 643-3566
Fax: (618) 643-2577

The provider's authorized official is Beth A Quick .
The authorized official title is Vice President and has the following contact phone number (618) 244-7701.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual Disabilities0043802ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10043802OTHERILLINOISLG TERM CARE ICF DD 16
214G222OTHERILLINOISPROVIDER IDENTIFICATION #
36012272OTHERILLINOISFACILITY ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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