JAYS RESIDENTIAL, LLC (NPI# 1174661177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174661177 |
Entity Type | Organization |
Organization Name | JAYS RESIDENTIAL, LLC |
Practice Address |
12731 Richmond Ave Grandview MO 64030-2160 |
Practice Telephone | 8169650131 |
Practice Fax Number | 8169650131 |
Mailing Telephone | 8169650131 |
Mailing Fax Number | 8169650131 |
Enumeration Date | 2007-02-02 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. JASON L RUDOLPH (DIRECTOR) |
Authorized Official Telephone | 8164566461 |
Authorized Official Credential | BS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MO | Residential Treatment Facilities |
Street Address |
12731 RICHMOND AVE |
City | GRANDVIEW |
State | MO |
Zip Code | 64030-2160 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225227515 | Jays Residential, LLC - Grandview II | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12731 Richmond Ave, Grandview, MO 64030-2160 | 2007-10-23 |
1285751826 | Jays Residential Isl | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12731 Richmond Ave, Grandview, MO 64030-2160 | 2007-03-26 |
1639296270 | Jays Residential LLC - Trevis House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12731 Richmond Ave, Grandview, MO 64030-2160 | 2007-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477039402 | Garrett Wayne Nicol | Physical Therapist | 7201 E 147th St Ste 120, Grandview, MO 64030 | 2018-07-12 |
1235631771 | Rashida Balqees | Family Medicine | 13013 Fuller Ave A, Grandview, MO 64030 | 2018-03-01 |
1659890721 | Job One Careers | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12604 E 3rd Street, Grandview, MO 64030 | 2017-09-11 |
1144766080 | Megan Little | Naturopath | 12817 Crystal Ave, Grandview, MO 64030 | 2017-01-17 |
1578925095 | Heart of America Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 4338 E 142nd St, Grandview, MO 64030 | 2016-03-23 |
1568856888 | Barbara Lynn Cavanaugh | Nurse Practitioner | 13013 Fullerave, Suite A, Grandview, MO 64030 | 2015-03-25 |
1225478886 | Essential Developments L.L.C. | Day Training, Developmentally Disabled Services | 14908 Grand Summit Blvd Apt 202, Grandview, MO 64030 | 2013-06-27 |
1154685956 | Colin Tollerton Smith Jr. | Dentist | 13051 S Hwy 71, Grandview, MO 64030 | 2012-06-27 |
1841448750 | Concentra Health Services, Inc. | Clinic/Center | 12220 A S Blueridge Blvd., Grand View, MO 64030 | 2008-09-04 |
1295919363 | American Current Care PC | Clinic/Center | 12220a South Blueridge Blvd., Grandview, MO 64030 | 2007-12-24 |
Find all providers in zip 64030 |
Taxonomy Code | 320900000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659890721 | Job One Careers | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12604 E 3rd Street, Grandview, MO 64030 | 2017-09-11 |
1114083276 | Dixie Hardman LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13407 Byars Rd, Grandview, MO 64030-3307 | 2006-12-30 |
1285751826 | Jays Residential Isl | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12731 Richmond Ave, Grandview, MO 64030-2160 | 2007-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609475516 | Brandi Janelle Hickman | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8706 Newton Ave Apt 4101, Kansas City, MO 64138-5461 | 2020-10-21 |
1154935112 | Overcomers Counseling Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17101 East 203rd St, Peculiar, MO 64078 | 2020-09-06 |
1386265965 | Candace Palmer | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2405 Bowe Ln, Jefferson City, MO 65109-9116 | 2020-05-05 |
1902426596 | Matt Ferguson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4480 Bradley Dr, Joplin, MO 64804-5503 | 2020-04-23 |
1689206211 | Insight Industry LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2501 Ne Prairie Falcon Dr, Blue Springs, MO 64014-1958 | 2020-02-11 |
1598306904 | Hearo Technologies LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 N Jefferson Ave Ste 1063, Springfield, MO 65806-1110 | 2019-10-07 |
1437790219 | Darin Roark | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2628 Se Kimbrough Ln, Lees Summit, MO 64063-1082 | 2019-10-03 |
1942851399 | Wyatt's Dream Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 205 State Highway Aa, Sikeston, MO 63801-5303 | 2019-09-26 |
1043871908 | Cura Personalis, (care for The Whole Person), LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11650 Bobwhite Road, Carthage, MO 64836 | 2019-06-21 |
1043870181 | Rebuild Contracting LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1783 Possum Hollow Dr, Camdenton, MO 65020-6709 | 2019-06-20 |
Find all providers with the same taxonomy |
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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.