Active NPI
JK Enterprise
- Public Health or Welfare Agency
- Prichard, AL
National Provider Identifier
1366915977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- JK ENTERPRISE
- Practice address
- 109 Clark Ave
Prichard, AL 36610 - Phone
- (251) 605-9372
- NPI assigned
- Jan 7, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Deborah Ann Johnson
- Title
- President
- Phone
- (251) 605-9372
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
109 Clark Ave
Prichard, AL 36610
Mailing address
PO Box 10365
Prichard, AL 36610-0365
Phone (251) 605-9372
National Provider Directory
National Provider Directory- Tax ID family
- JK Enterprise
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Prichard, AL
- NPI 1780157065
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Adult Day Care Clinic/Center
- Prichard, AL
- NPI 1780157065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546819200000",
"number": "1366915977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10365",
"city": "PRICHARD",
"state": "AL",
"postal_code": "366100365",
"telephone_number": "251-605-9372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 CLARK AVE",
"city": "PRICHARD",
"state": "AL",
"postal_code": "36610",
"telephone_number": "251-605-9372"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JK ENTERPRISE",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-07",
"last_updated": "2019-01-07",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "251-605-9372",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prichard, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.