Jaybird Holdings Indianola LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

JAYBIRD HOLDINGS INDIANOLA LLC

Practice address

604 E Hillcrest Dr
Indianola, IA 50125-9032

Phone

(515) 961-1924

Fax

(515) 961-1956

NPI assigned

Jan 27, 2025

Last updated

Jan 27, 2025By 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

Jeremy Prior

Title

Community Director

Phone

(515) 961-1924

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Lynda L. Haver, DPM

  • Podiatrist
  • Des Moines, IA
  • NPI 1831275767
  NPD (past)
• Kathy L. Marlow, ARNP

  • Gerontology Nurse Practitioner
  • Knoxville, IA
  • NPI 1396766275
  NPD (past)

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1679386528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 E HILLCREST DR",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501259032",
            "telephone_number": "515-961-1924",
            "fax_number": "515-961-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 E HILLCREST DR",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501259032",
            "telephone_number": "515-961-1924",
            "fax_number": "515-961-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYBIRD HOLDINGS INDIANOLA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "PRIOR",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "COMMUNITY DIRECTOR",
        "authorized_official_telephone_number": "515-961-1924"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iowa Speech Therapy
• Gary Lee Jacobsen, DDS
• Gary Janssen, DO
• Alfreda Jarue
• Jaybird ABA LLC (Jaybird ABA)
• Chris Robert Jensen, M.D.
• Marisa Jensen, PT
• Amanda Johnson
• Yulia Johnson, D.O.
• Kelly Marie Joyner, COTA

• Assisted Living Facility in Indianola, IA
• Providers in Indianola, 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 27, 2025; 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.