Provider Type Icon

JOHN & JENNERINE ENTERPRISE INC. NPI 1700051273


NPI Information

NPI: 1700051273
Provider Name: JOHN & JENNERINE ENTERPRISE, INC.

Doing Business As: LIFE TURN GROUP HOME

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
116 PINEVIEW DR
REIDSVILLE, NC
ZIP 27320
Phone: (336) 342-4033
Get Directions

JOHN & JENNERINE ENTERPRISE, INC. is a residential treatment facility emotionally disturbed children in Reidsville, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. JOHN & JENNERINE ENTERPRISE, INC. NPI is 1700051273. The provider is registered as an organization entity type.
The provider Is Doing Business As Life Turn Group Home.

The provider's business location address is:

116 PINEVIEW DR
REIDSVILLE, NC
ZIP 27320-126
Phone: (336) 342-4033
Fax: (336) 852-6701

The provider's authorized official is Jennerine M. Wallace .
The authorized official title is Owner Ceo and has the following contact phone number (336) 852-6006.

The enumeration date for this NPI number is 4/25/2008 and was last updated on 2/4/2010.


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
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL079092NORTH CAROLINAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.