Jamm LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

License

201150 Issued in PA

Legal business name

JAMM LLC

Doing business as

Keystone Garden Estates

Practice address

100 Narrows Rd
Larksville, PA 18651-3222

Phone

(570) 719-0763

Fax

(570) 719-0764

NPI assigned

Apr 12, 2007

Last updated

Jul 15, 2016By 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

Jennifer Menichini, ADMINISTRATOR, LPN

Title

Administrator

Phone

(570) 719-0763

Specialties & licenses 1

Addresses

Other names 1

• Keystone Garden Estates Doing business as

Locations

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1851515415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NARROWS ROAD ROUTE 11",
            "city": "LARKSVILLE",
            "state": "PA",
            "postal_code": "18651",
            "telephone_number": "570-719-0763",
            "fax_number": "570-719-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NARROWS RD",
            "city": "LARKSVILLE",
            "state": "PA",
            "postal_code": "186513222",
            "telephone_number": "570-719-0763",
            "fax_number": "570-719-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "MENICHINI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "570-719-0763",
        "authorized_official_credential": "ADMINISTRATOR, LPN"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "PA",
            "license": "201150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keystone Garden Estates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theodore John Chernyl, CRNP, PMHNP-BC
• Kristin Ermak, BCBA
• Alexis Grohol, MS, CCC-SLP
• Keystone Adult Daycare
• Keystone Adult Daycare
• Larksville Commmunity Ambulance
• Learning Time Therapy
• Leah Mikulski, MSOTR/L

• Respite Care in Larksville, PA
• Providers in Larksville, PA by specialty
• Respite Care in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.