Joyous Years

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

036100650 Issued in IL

Legal business name

JOYOUS YEARS

Practice address

1310 E 75TH St
Chicago, IL 60619-1420

Phone

(630) 384-1254

Fax

(630) 384-1217

NPI assigned

Aug 1, 2008

Last updated

Mar 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Keisha Rolls, CPC

Title

Senior Project Manager

Phone

(630) 384-1254

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1063678761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MANCHESTER RD",
            "address_2": "BUILDING A SUITE 615",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874579",
            "telephone_number": "630-384-1254",
            "fax_number": "630-260-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 E 75TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606191420",
            "telephone_number": "630-384-1254",
            "fax_number": "630-384-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOYOUS YEARS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "ROLLS",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_title_or_position": "SENIOR PROJECT MANAGER",
        "authorized_official_telephone_number": "630-384-1254",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "IL",
            "license": "036100650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036100650",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joyful Dental Care
• Joyful Journeys LLC
• Joyful Senior Center LLC
• Joyfully Fed Nutrition
• Edwinner T Joyner
• Joyous Years Adult Day Program LTD
• Kyle Jozsa
• JPG Chiropractic & Tennis Performance LLC (Jpgctp)
• Jr Chhibber MD S.C
• Jr Dadivas Jr. MD., SC

• Health Maintenance Organization in Chicago, IL
• Providers in Chicago, IL by specialty
• Health Maintenance Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.