JAYS RESIDENTIAL, LLC


Address: 12731 Richmond Ave, Grandview, MO 64030-2160
Phone: 8169650131

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 12731 RICHMOND AVE
City GRANDVIEW
State MO
Zip Code 64030-2160

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City GRANDVIEW
Zip Code 64030

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Dataset Information

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.

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