J.a.M., Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

J.A.M., INC.

Practice address

555 E 12TH St
Gibbon, MN 55335-3136

Phone

(507) 834-6510

Fax

(507) 834-6511

NPI assigned

Feb 20, 2015

Organization subpart

No

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

Authorized official

Name

Mary Ten Eyck

Title

Office Manager

Phone

(507) 834-6510

Specialties & licenses 1

Addresses

Other names 1

• South View Living Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1760874226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E 12TH ST",
            "city": "GIBBON",
            "state": "MN",
            "postal_code": "553353136",
            "telephone_number": "507-834-6510",
            "fax_number": "507-834-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E 12TH ST",
            "city": "GIBBON",
            "state": "MN",
            "postal_code": "553353136",
            "telephone_number": "507-834-6510",
            "fax_number": "507-834-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.A.M., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "TEN EYCK",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "507-834-6510"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South View Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katelyn Hartmann
• Independent School District No 2365
• Mavis Jean Pautz, RN
• Southview Living Center, LLC

• Assisted Living Facility in Gibbon, MN
• Providers in Gibbon, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.