CJL Group, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

CJL GROUP, LLC

Doing business as

Heartsong East Adult Day Health Care

Practice address

10720 Plantside Dr
Louisville, KY 40299-3894

Phone

(502) 935-3300

NPI assigned

Dec 14, 2020

Last updated

Dec 14, 2020By 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

Mr. Adam W Johnson

Title

Member

Phone

(502) 935-3300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heartsong East Adult Day Health Care Doing business as

Locations

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1841886850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10720 PLANTSIDE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402993894",
            "telephone_number": "502-935-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10720 PLANTSIDE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402993894",
            "telephone_number": "502-935-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "502-935-3300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT DAY HEALTH CARE NURSING SERVICES LICENSE",
            "identifier": "750211",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartsong East Adult Day Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Joseph Alvin Clan Jr., M.D.
• Kristen Nichole Clan, BCBA, LBA
• Benjamen P. Clancy, L.AC, DIPL.AC

• Adult Day Care Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Adult Day Care Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.