JRS&J Adult Care Center, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

946 Issued in MS

Legal business name

JRS&J ADULT CARE CENTER, INC.

Practice address

803 W Main St
Louisville, MS 39339-2539

Phone

(662) 773-5905

NPI assigned

Oct 6, 2010

Last updated

Oct 6, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

SMUTHERS P&OAs reported in NPPES

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

Authorized official

Name

Mr. James R Wilson

Title

Executive Director

Phone

(662) 773-8721

Specialties & licenses 2

Addresses

Tax ID family

JRSJ Adult Care Center Inc2 organizations share this tax ID, including this one

Part of

Smuthers Prosthetics Orthotics

Other organizations with this tax ID 1

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

• JRS&J Adult Care Center, Inc

  • Assisted Living Facility
  • Louisville, MS
  • NPI 1962669614
  NPD tax ID

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286323200000",
    "number": "1265741300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 W MAIN ST",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 W MAIN ST",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392539",
            "telephone_number": "662-773-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRS&J ADULT CARE CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SMUTHERS P&O",
        "enumeration_date": "2010-10-06",
        "last_updated": "2010-10-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "662-773-8721",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MS",
            "license": "946",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MS",
            "license": "946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob A Ivey, OD
• Jasmine Ivy, NP
• Anthony Jones
• Tiffany Jordan, PMHNP
• JRS&J Adult Care Center, Inc
• Elizabeth Lee Karajman, DMD
• Tanisha Nicola Kelly, MS
• Hayden Stokes Kilgore, FNP-C
• Melanie Kirk, OTR/L
• Terrence Caleb Lafferty, PT

• Assisted Living Facility in Louisville, MS
• Providers in Louisville, MS by specialty
• Assisted Living Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; 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.