NPIMap

Organization Active NPI

Jay Wyn L.L.C

  • Assisted Living Facility
  • Weirton, WV
National Provider Identifier
1689084790
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
507574 Issued in WV
Legal business name
JAY WYN L.L.C
Practice address
610 North 10TH Street
Weirton, WV 26062
Phone
(304) 748-3943
Fax
(304) 748-3944
NPI assigned
Apr 29, 2014
Organization subpart
Yes
Parent organization
JAY WYN LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Authorized official

Name
Mrs. Tamela Sue McQuiston
Title
Administrator/Owner
Phone
(304) 231-4938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 507574 WV Primary

Addresses

Primary practice location

610 North 10TH Street
Weirton, WV 26062

Mailing address

P.O. Box 102
Follansbee, WV 26062
Phone (304) 527-5400

Other names 1

  • Woodland Hills Manor Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jay Wyn LLC2 organizations share this tax ID, including this one
Part of
Jay Wyn LLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1689084790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 102",
            "city": "FOLLANSBEE",
            "state": "WV",
            "postal_code": "26062",
            "telephone_number": "304-527-5400",
            "fax_number": "304-527-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 NORTH 10TH STREET",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "26062",
            "telephone_number": "304-748-3943",
            "fax_number": "304-748-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY WYN L.L.C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAY WYN LLC",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "MCQUISTON",
        "authorized_official_first_name": "TAMELA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "304-231-4938",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WV",
            "license": "507574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodland Hills Manor Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weirton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.