Active NPI
Jaybird Senior Living, Inc.
Doing business as Jaybird Senior Living
- Adult Care Home Facility
- Cedar Rapids, IA
National Provider Identifier
1174313209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- JAYBIRD SENIOR LIVING, INC.
- Doing business as
- Jaybird Senior Living
- Practice address
- 200 35TH Street Dr SE
Cedar Rapids, IA 52403-1323 - Phone
- (800) 366-6716
- Fax
- (319) 362-3067
- NPI assigned
- May 12, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Russell
- Title
- Owner
- Phone
- (800) 366-6716
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | |||
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
200 35TH Street Dr SE
Cedar Rapids, IA 52403-1323
Mailing address
200 35TH Street Dr SE
Cedar Rapids, IA 52403-1323
Phone (800) 366-6716
Other names 1
- Jaybird Senior Living
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747008000000",
"number": "1174313209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 35TH STREET DR SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524031323",
"telephone_number": "800-366-6716",
"fax_number": "319-362-3067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 35TH STREET DR SE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524031323",
"telephone_number": "800-366-6716",
"fax_number": "319-362-3067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAYBIRD SENIOR LIVING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-12",
"last_updated": "2025-05-12",
"certification_date": "2025-05-12",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "800-366-6716"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jaybird Senior Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.