JAK PROPERTIES INC NPI 1295092500

NPI Information

NPI: 1295092500
Provider Name: JAK PROPERTIES INC

Other Name: A1 ADULT DAY HABILITATION CENTER

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
400 M C BLACK RD
BONNE TERRE, MO
ZIP 63628
Phone: (573) 358-7755
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JAK PROPERTIES INC is an adult day care clinic center in Bonne Terre, MO. JAK PROPERTIES INC NPI is 1295092500. The provider is registered as an organization entity type.
The provider Other Name Is A1 Adult Day Habilitation Center.

The provider's business location address is:

400 M C BLACK RD
BONNE TERRE, MO
ZIP 63628-649
Phone: (573) 358-7755
Fax: (573) 358-7788

The provider's authorized official is Amy Sue Proffer .
The authorized official title is President/ceo and has the following contact phone number (573) 358-7755.

The enumeration date for this NPI number is 4/12/2012 and was last updated on 12/23/2022.

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	Primary
1	253Z00000X	In Home Supportive Care		No
2	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No
3	372500000X	Chore Provider		No
4	261QA0600X	Clinic/Center	Adult Day Care	Yes

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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