Organization Active NPI

Ij-Jeneil Inc

  • Durable Medical Equipment & Medical Supplies
  • Cleveland, OH
National Provider Identifier
1154320711
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
IJ-JENEIL INC
Doing business as
Ida-Joy Shoppes
Practice address
4630 Richmond Rd
Suite 265
Cleveland, OH 44128-5965
Phone
(216) 831-2048
Fax
(216) 831-1028
NPI assigned
Jul 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Eileen Jones
Title
Vice-President
Phone
(216) 831-2048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4630 Richmond Rd
Suite 265
Cleveland, OH 44128-5965

Mailing address

4630 Richmond Rd
Suite 265
Cleveland, OH 44128-5965
Phone (216) 831-2048

Other identifiers 1

IdentifierTypeStateIssuer
0240055MedicaidOH

Other names 1

  • Ida-Joy Shoppes Doing business as

National Provider Directory

National Provider Directory

Locations

4630 Richmond Rd
Ste 265
Warrensville Heights, OH 44128
Phone (216) 831-2048

NPI Registry JSON

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

{
    "created_epoch": "1121558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1154320711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 RICHMOND RD",
            "address_2": "SUITE 265",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441285965",
            "telephone_number": "216-831-2048",
            "fax_number": "216-831-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 RICHMOND RD",
            "address_2": "SUITE 265",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441285965",
            "telephone_number": "216-831-2048",
            "fax_number": "216-831-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IJ-JENEIL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-17",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "216-831-2048"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0240055",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ida-Joy Shoppes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.