Organization Active NPI

Jr'S Centre

  • Developmentally Disabled Services Day Training Agency
  • Anna, IL
National Provider Identifier
1427409812
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
JR'S CENTRE
Practice address
100 Florsheim Dr
Anna, IL 62906-1906
Phone
(618) 833-4956
Fax
(618) 833-5009
NPI assigned
Jun 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Authorized official

Name
Katherine Diane McNeill, B.S.
Title
Executive Director
Phone
(618) 833-4956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

100 Florsheim Dr
Anna, IL 62906-1906

Mailing address

100 Florsheim Dr
Anna, IL 62906-1906
Phone (618) 833-4956

National Provider Directory

National Provider Directory

Locations

100 Florsheim Dr
Anna, IL 62906
Phone (618) 833-4956

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1427409812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FLORSHEIM DR",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629061906",
            "telephone_number": "618-833-4956",
            "fax_number": "618-833-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FLORSHEIM DR",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629061906",
            "telephone_number": "618-833-4956",
            "fax_number": "618-833-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JR'S CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "MCNEILL",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "618-833-4956",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anna, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.