Jays Residential Isl in Grandview - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Jays Residential Isl - NPI 1285751826

Jays Residential Isl is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Grandview, Missouri. Jays Residential Isl practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Jays Residential Isl is 1285751826. The last update date is 2020-08-22.

Jays Residential Isl's current location address is 12731 Richmond Ave, Grandview, Missouri. You can contact this provider via phone number 8164566461 and fax number 8169650131. The mailing address for Jays Residential Isl is 12731 Richmond Ave, Grandview, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jays Residential Isl
Address 12731 Richmond Ave, Grandview, Missouri
Phone Number 8164566461
Fax Number 8169650131
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR
Authorized Official Name Rudolph Lee Jason
Credentials BS
Telephone Number 8164566461

NPI Number Detail

NPI Number 1285751826
Provider Enumeration Date 2007-03-26
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 12731 Richmond Ave
City Grandview
State Missouri (MO)
Post Code 640302160
Phone Number 8164566461
Fax Number 8169650131

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320900000X
Definition:
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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FAQs about Jays Residential Isl

What is the Jays Residential Isl's unique identification number?

The Jays Residential Isl has been assigned the NPI (National Provider Identifier) Number 1285751826 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Jays Residential Isl?

The Jays Residential Isl is physically situated at 12731 Richmond Ave, in the city of Grandview, state of MO, with the postal code 640302160.

What is Jays Residential Isl's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jays Residential Isl is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 320900000X.

On what date did the Jays Residential Isl receive the assignment of its 1285751826 from the Centers for Medicare & Medicaid Services?

The Jays Residential Isl was issued its 1285751826 by the Centers for Medicare & Medicaid Services on 2007-03-26.

As of what date was the information pertaining to Jays Residential Isl, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jays Residential Isl, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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