JJR Enterprises Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

96S007 Issued in IL

Legal business name

JJR ENTERPRISES INC

Practice address

2025 Broadway St Ste B
Mount Vernon, IL 62864-2935

Phone

(618) 244-7701

Fax

(618) 244-7704

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Beth Ann Quick

Title

Vice President

Phone

(618) 244-7701

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326110594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 705",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628640015",
            "telephone_number": "618-244-7701",
            "fax_number": "618-244-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 BROADWAY ST STE B",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642935",
            "telephone_number": "618-244-7701",
            "fax_number": "618-244-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJR ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUICK",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "618-244-7701"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "IL",
            "license": "96S007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CILA LICENSE",
            "identifier": "96S007",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jefferson County Comprehensive SVC Inc
• Jefferson County Comprehensive SVC Inc
• Amy Jo Jenkins, LPN
• Judy K Jenkins, LPN
• Brittany L Jerger
• JJR Enterprises Inc
• John Hall MD Rural Health Services
• John Hall, M.D., P.C.
• Andrew Robert Johnson, M.D.
• Diane C Johnson, LCSW

• Adult Care Home Facility in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Adult Care Home Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.