JCDH Incorporated

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALF095 Issued in NE

Legal business name

JCDH INCORPORATED

Doing business as

Lebensraum Assisted Living

Practice address

118 Ingalls St
Grand Island, NE 68803-5725

Phone

(308) 382-9066

Fax

(308) 395-8822

NPI assigned

Oct 11, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Joyce Elaine Cantrell, NURSING HOME ADMIN.

Title

President

Phone

(308) 382-9066

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lebensraum Assisted Living Doing business as

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1245514165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 KUESTER LK",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688018609",
            "telephone_number": "308-382-5189",
            "fax_number": "308-395-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 INGALLS ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688035725",
            "telephone_number": "308-382-9066",
            "fax_number": "308-395-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCDH INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "CANTRELL",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-382-9066",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NURSING HOME ADMIN."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NE",
            "license": "ALF095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100260819-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lebensraum Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raegyn Shay Jarman
• Sydney Jarzynka
• Joel D Jasa, P.A.-C.
• Kimberly Jean Jay
• Vimala Jayakumar, MD
• Justin Micheal Jelinek
• David Jenner
• Kimberly Jensen-Gemeiner
• Amy Jensen
• Tyler Jensen, PT

• Assisted Living Facility in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Assisted Living Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.