Jaybird Holdings CMP LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

JAYBIRD HOLDINGS CMP LLC

Doing business as

Country Meadow Place

Practice address

17396 Kingbird Ave
Mason City, IA 50401-9260

Phone

(641) 423-7722

Fax

(641) 421-7504

NPI assigned

Jan 24, 2024

Last updated

Jan 24, 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

John Joyner

Title

Community Director

Phone

(641) 423-7722

Specialties & licenses 1

Addresses

Other names 1

• Country Meadow Place Doing business as

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1679335806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17396 KINGBIRD AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504019260",
            "telephone_number": "641-423-7722",
            "fax_number": "641-421-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17396 KINGBIRD AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504019260",
            "telephone_number": "641-423-7722",
            "fax_number": "641-421-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYBIRD HOLDINGS CMP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "JOYNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "COMMUNITY DIRECTOR",
        "authorized_official_telephone_number": "641-423-7722"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Meadow Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brad Allen Janson, M.D.
• Shawn M Janssen, P.A
• Valerie J Jass, ANP -BOARD CERTIFIED
• Nimalka Panamulla Jayatilleka, MD
• Harsha R Jayawardena, MD
• Rebecca Lynn Jenkins, D.O.
• Anthony Jennings
• Brianna D Jewell, DO
• Jill Burkley PSYD LLC
• JKD Investments, LLC (Willow Pointe Senior Living)

• Assisted Living Facility in Mason City, IA
• Providers in Mason City, IA by specialty
• Assisted Living Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.