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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 0043794 | IL | Nursing & Custodial Care Facilities |
| 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 Name | Type Code |
|---|---|
| MEADOWBROOK ESTATES | Doing Business As Name - Organization |
| 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 |
| Street Address |
319 N LOCUST ST |
| City | MC LEANSBORO |
| State | IL |
| Zip Code | 62859-1343 |
| 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 |
| 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 |
| Find all providers in zip 62859 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (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). |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | MC LEANSBORO |
| Zip Code | 62859 |
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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.