KJLN INC.


Address: 4208 Helen St, Suffolk, VA 23435-2138
Phone: 2768064418

KJLN INC. (NPI# 1306491592) 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) 1306491592
Entity Type Organization
Organization Name KJLN INC.
Practice Address 4208 Helen St
Suffolk
VA 23435-2138
Practice Telephone 2768064418
Practice Fax Number 7575254927
Mailing Telephone 2768064418
Enumeration Date 2019-08-05
Last Update Date 2019-08-05
Authorized Official Name NICHOLAS MOYER (DIRECTOR)
Authorized Official Telephone 2768064418
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
VA 3316 05

Other Provider/Organization Names

Other Name Type Code
Life Consultants Inc Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1144861170 Kjln Inc. Community/Behavioral Health 110 N Main St, Galax, VA 24333-2908 2019-10-01

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities KJLN Inc. 4208 Helen St, Suffolk, Virginia 23435-2138

Office Location

Street Address 4208 HELEN ST
City SUFFOLK
State VA
Zip Code 23435-2138

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1255850574 Dantel Health, LLC Community/Behavioral Health 234 Meadow View Blvd, Suffolk, VA 23435-3495 2017-09-18
1245758135 Crossroads Treatment Center of Suffolk, PC Community/Behavioral Health 1258 Holland Rd, Suffolk, VA 23434-6313 2017-08-31
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1376964783 Comingout Christian Outreach Org. Community/Behavioral Health 1021 Nicklaus Dr, Suffolk, VA 23435-4102 2014-01-02
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1255629879 Advantage Rehab Inc Community/Behavioral Health 6705 Castlewood Cir, Suffolk, VA 23435-3016 2011-07-17
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Competitor

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City SUFFOLK
Zip Code 23435

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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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