Joyful Living Dda Home, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL-023-083 Issued in NC

Legal business name

JOYFUL LIVING DDA HOME, INC.

Doing business as

Joyful Living

Practice address

115 Morton St
Shelby, NC 28152-6621

Phone

(704) 481-9263

Fax

(704) 482-1692

NPI assigned

Feb 21, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Josephine Haynes Griffin, RN,BSN, QP

Title

Clinical Director of Services

Phone

(704) 481-9263

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Joyful Living Doing business as

Tax ID family

Joyful Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Joyful Living Dda Home, Inc.

  • Community/Behavioral Health Agency
  • Shelby, NC
  • NPI 1790875730
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013042290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MORTON ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526621",
            "telephone_number": "704-481-9263",
            "fax_number": "704-482-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MORTON ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526621",
            "telephone_number": "704-481-9263",
            "fax_number": "704-482-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOYFUL LIVING DDA HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_middle_name": "HAYNES",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR OF SERVICES",
        "authorized_official_telephone_number": "704-481-9263",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN,BSN, QP"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-023-083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409378",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joyful Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shakeila Jones
• Stephen W Jones, MD
• Toni Jones, LCSW
• Joseph R. Hendrick, Jr. DDS, PA
• Sarah Jo Joyce, LCMHCA
• Joyful Living Dda Home, Inc.
• Alan Velez Jubane, MD
• Amber Jade Justice, FNP
• Jennifer Leeanne Kale
• Chetan Brahma Kammari, MD

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Shelby, NC
• Providers in Shelby, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.