NPIMap

Organization Active NPI

JLM Ventures, Inc.

  • Speech-Language Pathologist
  • Benton, AR
National Provider Identifier
1245884378
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
JLM VENTURES, INC.
Practice address
3214 Winchester
Benton, AR 72015-2929
Phone
(501) 794-6482
Fax
(501) 794-6483
NPI assigned
Jul 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Authorized official

Name
William Sims, M.ED.
Title
VP of Operations
Phone
(501) 850-8788

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

3214 Winchester
Benton, AR 72015-2929

Mailing address

3214 Winchester
Benton, AR 72015-2929
Phone (501) 794-6482

Other identifiers 1

IdentifierTypeStateIssuer
896OtherARARKANSAS DEPARTMENT OF HEALTH

Other names 1

  • Grow Learning Centre-Benton Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Grow Learning Centre4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1245884378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 WINCHESTER",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720152929",
            "telephone_number": "501-794-6482",
            "fax_number": "501-794-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 WINCHESTER",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720152929",
            "telephone_number": "501-794-6482",
            "fax_number": "501-794-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLM VENTURES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "501-850-8788",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS DEPARTMENT OF HEALTH",
            "identifier": "896",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grow Learning Centre-Benton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.