Jay-Randolph Developmental Services, Inc. in Portland - Intermediate Care Facility, Intellectual Disabilities
Jay-Randolph Developmental Services, Inc. - NPI 1831143478
Jay-Randolph Developmental Services, Inc. is a Intermediate Care Facility, Intellectual Disabilities in Portland, Indiana. Jay-Randolph Developmental Services, Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Jay-Randolph Developmental Services, Inc. is 1831143478. The last update date is 2020-08-22.
Jay-Randolph Developmental Services, Inc.'s current location address is 901 E Water St, Portland, Indiana. You can contact this provider via phone number 2607267931 and fax number 2607268184. The mailing address for Jay-Randolph Developmental Services, Inc. is 901 E Water St, Portland, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jay-Randolph Developmental Services, Inc. |
|---|---|
| Address | 901 E Water St, Portland, Indiana |
| Phone Number | 2607267931 |
| Fax Number | 2607268184 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Young Anita |
| Telephone Number | 2607267931 |
NPI Number Detail
| NPI Number | 1831143478 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 901 E Water St |
|---|---|
| City | Portland |
| State | Indiana (IN) |
| Post Code | 473712038 |
| Phone Number | 2607267931 |
| Fax Number | 2607268184 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 2623I0004JN0 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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What is the Jay-Randolph Developmental Services, Inc.'s unique identification number?
The Jay-Randolph Developmental Services, Inc. has been assigned the NPI (National Provider Identifier) Number 1831143478 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Jay-Randolph Developmental Services, Inc. is geographically located?
The Jay-Randolph Developmental Services, Inc. is physically situated at the following location: 901 E Water St, Portland, IN, 473712038.
What is Jay-Randolph Developmental Services, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jay-Randolph Developmental Services, Inc. is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy code that categorizes this field of expertise is 315P00000X.
On what date was the 1831143478 assigned to Jay-Randolph Developmental Services, Inc.?
The Jay-Randolph Developmental Services, Inc. was issued its 1831143478 on 2006-05-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jay-Randolph Developmental Services, Inc. most recently updated?
The details pertaining to the Jay-Randolph Developmental Services, Inc., including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.