J and J Holmes Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1022516 Issued in MN

Legal business name

J AND J HOLMES INC

Doing business as

Behavior Wizards

Practice address

2125 Troop Dr
Sartell, MN 56377-4563

Phone

(320) 230-2708

Fax

(320) 230-3145

NPI assigned

Sep 17, 2009

Last updated

Dec 1, 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

Janell M Kramer

Title

Cfo/Owner

Phone

(218) 828-0083

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Behavior Wizards Doing business as

Locations

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1205169588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8365 BRANDON RD",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258742",
            "telephone_number": "218-828-0083",
            "fax_number": "218-828-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 TROOP DR",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774563",
            "telephone_number": "320-230-2708",
            "fax_number": "320-230-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J AND J HOLMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "JANELL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO/OWNER",
        "authorized_official_telephone_number": "218-828-0083"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "1022516",
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MN",
            "license": "1029181",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MN",
            "license": "1014328",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MN",
            "license": "1010165",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A100167100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavior Wizards",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Leila Suleiman Maye Islow
• Ifrah Jama
• Alex Janey
• Kelsey Lynn Janey
• Stephanie Margaret Lee Janson, RN, LICSW
• Emma Janu

• Community/Behavioral Health Agency in Sartell, MN
• Providers in Sartell, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.