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

Jays Residential, Llc - NPI 1174661177

Jays Residential, Llc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Grandview, Missouri. Jays Residential, Llc 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, Llc is 1174661177. The last update date is 2020-08-22.

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

Provider Profile Detail

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

Authorized Official

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

NPI Number Detail

NPI Number 1174661177
Provider Enumeration Date 2007-02-02
Last Updated Date 2020-08-22

Provider Mailing Address Detail

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

What is the unique 10-digit identification code assigned to Jays Residential, Llc by the Centers for Medicare & Medicaid Services?

The Jays Residential, Llc has been issued the NPI (National Provider Identifier) 1174661177, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Jays Residential, Llc is physically located?

The Jays Residential, Llc is physically situated at the following address: 12731 Richmond Ave, Grandview, MO, 640302160.

What is the area of specialization for Jays Residential, Llc, and what is the corresponding taxonomy classification code for this field?

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

On what date did the Centers for Medicare & Medicaid Services originally issue the 1174661177 to Jays Residential, Llc?

The Centers for Medicare & Medicaid Services originally issued the 1174661177 to Jays Residential, Llc on 2007-02-02.

When was the information related to Jays Residential, Llc most recently updated or refreshed?

The details pertaining to the Jays Residential, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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