NPIMap

Organization Active NPI

Kyjo Enterprises, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
National Provider Identifier
1346832847
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
KYJO ENTERPRISES, INC.
Practice address
1139 E Muncie Ave
Fresno, CA 93720-2226
Phone
(559) 243-7002
Fax
(559) 243-5740
NPI assigned
Feb 5, 2021
Organization subpart
Yes
Parent organization
KYJO ENTERPRISES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Authorized official

Name
Kevin Dante Jordan
Title
Executive Director
Phone
(559) 243-7002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1139 E Muncie Ave
Fresno, CA 93720-2226

Mailing address

114 E Shaw Ave Ste 210
Fresno, CA 93710-7621

Other names 1

  • Muncie House Other name

National Provider Directory

National Provider Directory
Tax ID family
Kyjo Enterprises Inc5 organizations share this tax ID, including this one
Part of
Kyjo Enterprises Inc

Other organizations with this tax ID 4

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

Locations

1139 E Muncie Ave
Fresno, CA 93720
Phone (559) 243-7002

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1346832847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E SHAW AVE STE 210",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 E MUNCIE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202226",
            "telephone_number": "559-243-7002",
            "fax_number": "559-243-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYJO ENTERPRISES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KYJO ENTERPRISES, INC.",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "DANTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "559-243-7002"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Muncie House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.