JJR ENTERPRISES INC


Address: 319 N Locust St, Mc Leansboro, IL 62859-1343
Phone: 6186432036

JJR ENTERPRISES INC (NPI# 1952474272) 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) 1952474272
Entity Type Organization
Organization Name JJR ENTERPRISES INC
Other Organization Name MEADOWBROOK ESTATES
Practice Address 319 N Locust St
Mc Leansboro
IL 62859-1343
Mailing Address Po Box 705
Mount Vernon
IL 62864-0015
Practice Telephone 6186432036
Practice Fax Number 6186433084
Mailing Telephone 6182447701
Mailing Fax Number 6182447704
Enumeration Date 2006-11-16
Last Update Date 2020-08-22
Authorized Official Name BETH A QUICK (VICE PRESIDENT)
Authorized Official Telephone 6182447701
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded 0043794 IL Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IL PROVIDER IDENTIFICATION # 14G170 01
IL LG TERM CARE ICF DD 16 0043794 01
IL FACILITY ID 6011399 01

Other Provider/Organization Names

Other Name Type Code
MEADOWBROOK ESTATES Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1255405056 Jjr Enterprises Inc Intermediate Care Facility, Mentally Retarded 13 Northbrook Dr, Mc Leansboro, IL 62859-1342 2006-11-20
1962576769 Jjr Enterprises Inc Intermediate Care Facility, Mentally Retarded 4241 Lincolnshire Dr, Mount Vernon, IL 62864-2157 2006-11-20
1245303528 Jjr Enterprises Inc Intermediate Care Facility, Mentally Retarded 813 W Center St, Fairfield, IL 62837-1403 2006-11-16
1508939174 Jjr Enterprises Inc Intermediate Care Facility, Mentally Retarded 225 W B St, Belleville, IL 62220-1337 2006-11-15
1326110594 Jjr Enterprises Inc Custodial Care Facility 2025 Broadway St Ste B, Mount Vernon, IL 62864-2935 2006-11-14

Office Location

Street Address 319 N LOCUST ST
City MC LEANSBORO
State IL
Zip Code 62859-1343

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184080186 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 319 N Locust St, Mc Leansboro, IL 62859-1343 2016-01-06
1376808477 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 319 N Locust St, Mc Leansboro, IL 62859-1343 2012-07-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639598220 Emily Knight Speech-Language Pathologist 10499 County Rd. 700 N., Mc Leansboro, IL 62859 2014-04-10
1235422130 Hamilton Memorial Nursing and Rehabilitation Center, L.L.C. Skilled Nursing Facility 609 S Marshall Avenue, Mcleansboro, IL 62859 2011-05-25
1558673152 Sai Prashanth Babu Palepu Family Medicine 611 South Marshall, Mcleansboro, IL 62859 2010-07-12
1831329416 Nikki Diane Lynch Occupational Therapy Assistant Rr3 Box 108, Mcleansboro, IL 62859 2009-07-17
1952576639 Rci Wrs Inc Clinic/Center 208 B South Washington Street, Mcleansboro, IL 62859 2008-04-24
1215110903 Hamilton County Health Department Clinic/Center Courthouse Room 5, Mcleansboro, IL 62859 2007-12-17
1366504888 Crossroads Physician Corp Physician Assistant 208 S Washington Street, Mcleansboro, IL 62859 2006-12-14
1033291034 Brett Allen Watkins Chiropractor 301 S Jackson, Mcleansboro, IL 62859 2006-10-19
1609837665 Hamilton Memorial Hospital District Clinic/Center 611 S Marshall Avenue, Mcleansboro, IL 62859 2006-03-30
1437650116 Deaconess Specialty Physicians, Inc Internal Medicine 206 S Washington St, Mc Leansboro, IL 62859 2018-02-27
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Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265898266 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 102 S Douglas St, Mc Leansboro, IL 62859-1637 2016-01-06
1437515434 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 206 N Washington St, Mc Leansboro, IL 62859-1049 2016-01-06
1578962288 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 709 E Saint Charles Ave, Mc Leansboro, IL 62859-1450 2014-08-19
1255405056 Jjr Enterprises Inc Intermediate Care Facility, Mentally Retarded 13 Northbrook Dr, Mc Leansboro, IL 62859-1342 2006-11-20
1184080186 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 319 N Locust St, Mc Leansboro, IL 62859-1343 2016-01-06
1881093441 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 13 Northbrook Dr, Mc Leansboro, IL 62859-1342 2014-08-20
1376808477 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 319 N Locust St, Mc Leansboro, IL 62859-1343 2012-07-05
1811252836 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 13 Northbrook Dr, Mc Leansboro, IL 62859-1342 2012-07-05
1346503521 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded Rr 1 Box 55, Mc Leansboro, IL 62859-9707 2012-06-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871039669 Mount St Joseph Intermediate Care Facility, Mentally Retarded 24955 N Us Highway 12, Lake Zurich, IL 60047-8919 2017-01-17
1447792221 Shore Community Services, Inc. Intermediate Care Facility, Mentally Retarded 8350 Laramie Ave, Skokie, IL 60077-2461 2016-11-10
1770930968 Community Support Systems Intermediate Care Facility, Mentally Retarded 2311 Veterans Drive, Effingham, IL 62401 2016-05-18
1164888160 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 1406 W Delaware St, Fairfield, IL 62837-2336 2016-01-06
1376909374 Tdl Group, Inc Intermediate Care Facility, Mentally Retarded 416 Chula Vista Dr, Belleville, IL 62221-3160 2016-01-06
1790141885 Tdl Group, Inc Intermediate Care Facility, Mentally Retarded 212 Turning Leaf Cir, Belleville, IL 62221-6747 2016-01-06
1790141794 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 867 County Road 2150 E, Fairfield, IL 62837-2824 2016-01-06
1255797254 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 9135 N Spring Garden Ln, Mount Vernon, IL 62864-6624 2016-01-06
1093110066 Ottawa Friendship House Work Activity Center, Inc Intermediate Care Facility, Mentally Retarded 600 West 12th Street, Streator, IL 61364 2014-11-03
1972902534 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 11917 E Diana Rd, Mount Vernon, IL 62864-8873 2014-08-20
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Competitor

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City MC LEANSBORO
Zip Code 62859

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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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