Jay Wyn LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

507575 Issued in WV

Legal business name

JAY WYN LLC

Practice address

608 North 10TH Street
Weirton, WV 26062

Phone

(304) 748-3943

Fax

(304) 748-3944

NPI assigned

Apr 29, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Tamela Sue McQuiston

Title

Administrator/Owner

Phone

(304) 231-4938

Specialties & licenses 1

Addresses

Other names 1

• Woodland Hills Cottage Assisted Living Doing business as

Tax ID family

Jay Wyn LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Jay Wyn L.L.C

  • Assisted Living Facility
  • Weirton, WV
  • NPI 1689084790
  NPD tax ID

Locations

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.

• Jay Wyn L.L.C

  • Assisted Living Facility
  • Weirton, WV
  • NPI 1689084790
  NPPES parent name

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1396155487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 102",
            "city": "FOLLANSBEE",
            "state": "WV",
            "postal_code": "26062",
            "telephone_number": "304-527-5400",
            "fax_number": "304-527-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 NORTH 10TH STREET",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "26062",
            "telephone_number": "304-748-3943",
            "fax_number": "304-748-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY WYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "MCQUISTON",
        "authorized_official_first_name": "TAMELA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "304-231-4938",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WV",
            "license": "507575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodland Hills Cottage Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isaiah Kimanie Jacques
• Mia James
• Shonna S James, MA
• Jessica Jamison
• Jay Wyn L.L.C
• Jeremy M. Crow DDS, Inc.
• John E. Capito, MD
• Heather Johnson
• Taylor Johnson, FNP-BC
• Tracy Francesca Johnson

• Assisted Living Facility in Weirton, WV
• Providers in Weirton, WV by specialty
• Assisted Living Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.