NPIMap

Organization Active NPI

JLM Ventures, Inc.

Doing business as Grow Learning Centre-Benton

  • Developmental Disabilities Clinic/Center
  • Benton, AR
National Provider Identifier
1457905580
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
JLM VENTURES, INC.
Doing business as
Grow Learning Centre-Benton
Practice address
3214 Winchester
Benton, AR 72015-2929
Phone
(501) 794-6482
Fax
(501) 794-6483
NPI assigned
Jul 26, 2019
Last updated
Jul 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Authorized official

Name
William Sims, M.ED.NPI 1295946382
Title
VP of Operations
Phone
(501) 850-8788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X NU Primary

Addresses

Primary practice location

3214 Winchester
Benton, AR 72015-2929

Mailing address

3214 Winchester
Benton, AR 72015-2929
Phone (501) 794-6482

Other identifiers 1

IdentifierTypeStateIssuer
896OtherARARKANSAS DEPARTMENT OF HEALTH

Other names 1

  • Grow Learning Centre-Benton Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Grow Learning Centre4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

3214 Winchester
Benton, AR 72015
Phone (501) 326-6160

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1457905580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 WINCHESTER",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720152929",
            "telephone_number": "501-794-6482",
            "fax_number": "501-794-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 WINCHESTER",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720152929",
            "telephone_number": "501-794-6482",
            "fax_number": "501-794-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLM VENTURES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "501-850-8788",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS DEPARTMENT OF HEALTH",
            "identifier": "896",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grow Learning Centre-Benton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.

Verify at the official NPI Registry.