JJR Enterprises Inc
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Fairfield, IL
NPI 1245303528 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1245303528
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- License
- 00143828 (IL)
- Legal business name
- JJR ENTERPRISES INC
- Practice address
- 813 W Center St
Fairfield, IL 62837-1403 - Phone
- (618) 842-2260
- Fax
- (618) 842-4228
- NPI assigned
- Nov 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Beth A Quick
- Title
- Vice President
- Phone
- (618) 244-7701
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 00143828 | IL | Yes |
Addresses
Primary practice location
813 W Center St
Fairfield, IL 62837-1403
Mailing address
PO Box 705
Mount Vernon, IL 62864-0015
Phone (618) 244-7701
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14G276 | Other | IL | PROVIDER IDENTIFICATION # |
| 0043828 | Other | IL | LG TERM CARE ICF DD 16 |
| 6012983 | Other | IL | FACILITY ID |
Other names
- TRAFFORD ESTATES
Other providers in Fairfield, IL
- Jacob Lonnie Holmes
- Jakara Hopper
- Irina Podolsky PSYD LLC
- Jasper C.C.S.D. 17
- Linda Sue Jennette
- Jed W Jones
- Rachel Dee Jones
- Allissa Keoughan
- Kimberly S King
- Joni Renee Kleinschmidt
All providers in Fairfield, IL · Intellectual Disabilities Intermediate Care Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.