J&Y Assisted Living for the Ages

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

J&Y ASSISTED LIVING FOR THE AGES

Practice address

904 Lake Martha Dr NE
Winter Haven, FL 33881-4278

Phone

(863) 578-4800

Fax

(863) 578-3017

NPI assigned

Sep 30, 2015

Organization subpart

No

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

Authorized official

Name

Jean A Milhomme Sr.

Title

President

Phone

(863) 578-4800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1790155950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 LAKE MARTHA DR NE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814278",
            "telephone_number": "863-578-4800",
            "fax_number": "863-578-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 LAKE MARTHA DR NE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814278",
            "telephone_number": "863-578-4800",
            "fax_number": "863-578-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&Y ASSISTED LIVING FOR THE AGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "MILHOMME",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-578-4800",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Internal Medicine Group of Winter Haven,P.a.
• Susan Iskowitz, LCSW
• Esaam El-Dean Ismail, O.D.
• Sherif Isshak Ibrahim, MD
• J. Agustin Lacson M.D. Inc
• Jackson Diagnostic Imaging, Inc
• Daniel Jackson, COTA
• Jillian J Jackson, LCSW
• Patrice Jackson
• Sarelyn Bertina Jackson

• Assisted Living Facility (Mental Illness) in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.