JDR Elite Enterprise LLC

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

JDR ELITE ENTERPRISE LLC

Practice address

25000 Euclid Ave Ste 305
Euclid, OH 44117-2646

Phone

(216) 450-0042

NPI assigned

Sep 26, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Jamall JaveyNPI 1730867029

Title

Owner/Operator

Phone

(216) 450-0042

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamall Javey, QMHS

  • Case Manager/Care Coordinator
  • Willoughby, OH
  • NPI 1730867029
  NPD Authorized official

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1285451542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25000 EUCLID AVE STE 305",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441172646",
            "telephone_number": "216-450-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25000 EUCLID AVE STE 305",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441172646",
            "telephone_number": "216-450-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDR ELITE ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-21",
        "status": "A",
        "authorized_official_last_name": "JAVEY",
        "authorized_official_first_name": "JAMALL",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "216-450-0042",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tawana James
• Zamira Jani, DDS
• Michelle January-Dews Willis
• Roseanne Jarvis
• Jasmine Sparks
• Jean Botti Lenk M.D., Inc
• Jeanette S. Henry
• Chamere Jefferson
• Dionne S Jefferson
• Lashelle N Jefferson

• Private Vehicle in Euclid, OH
• Providers in Euclid, OH by specialty
• Private Vehicle in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.