J and M Adult Day Facilities Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

J AND M ADULT DAY FACILITIES INC.

Doing business as

Nemo's Reef

Practice address

5212 Brandt Pike Ste B
Dayton, OH 45424-6138

Phone

(937) 414-1572

NPI assigned

Apr 29, 2021

Organization subpart

No

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

Authorized official

Name

Mickenzie Schultz

Title

Owner

Phone

(937) 414-1572

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nemo's Reef Doing business as

Locations

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1679156590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 BRANDT PIKE STE B",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454246138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 BRANDT PIKE STE B",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454246138",
            "telephone_number": "937-414-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J AND M ADULT DAY FACILITIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "MICKENZIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-414-1572"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5718499",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nemo's Reef",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan C Ivory, LISW
• Doneka Ivy-Marsh
• Karlyn Ivy
• Letetia Ivy
• J & K in-Home Care, Inc.
• J Scott Wilcher M.D. Inc
• J&J Ohio Transportation LLC
• J&M Transit LLC
• Elvira R. Jaballas, MD
• Jackson Counseling Associates

• Adult Day Care Clinic/Center in Dayton, OH
• Providers in Dayton, OH by specialty
• Adult Day Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.