Joyful Mind Community Care Residential LLC

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

JOYFUL MIND COMMUNITY CARE RESIDENTIAL LLC

Practice address

611 Wasco Dr
The Dalles, OR 97058-9702

Phone

(503) 734-5698

NPI assigned

Sep 3, 2024

Last updated

Sep 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric Manzi

Title

Operation Manager

Phone

(503) 734-5698

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1568297364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 WASCO DR",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970589702",
            "telephone_number": "503-734-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 WASCO DR",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970589702",
            "telephone_number": "503-734-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOYFUL MIND COMMUNITY CARE RESIDENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "MANZI",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OPERATION MANAGER",
        "authorized_official_telephone_number": "503-734-5698"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Jones
• Georgina Kay Jones, BS
• Melissa D Jones
• Suzanne Jordan
• Krista Joyce
• Jeffery Lee Judah
• Monte Curtis Junker, DDS
• Dionne R Justesen
• Karen Lee Kaatz, LMT
• Dianne Riggs Kaylor, DPT

• Foster Care Agency in The Dalles, OR
• Providers in The Dalles, OR by specialty
• Foster Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.