Organization Active NPI

C and J Quality Jobs LLC

  • Home Modifications Contractor
  • Corydon, IA
National Provider Identifier
1912067455
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
Legal business name
C AND J QUALITY JOBS LLC
Practice address
610 West Maple St
Corydon, IA 50060
Phone
(641) 872-3801
Fax
(641) 872-3802
NPI assigned
Dec 12, 2006
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Shawnna Lynne Poindexter
Title
Manager
Phone
(641) 872-3801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X Primary

Addresses

Primary practice location

610 West Maple St
Corydon, IA 50060

Mailing address

610 West Maple St
Corydon, IA 50060
Phone (641) 872-3801

Other identifiers 1

IdentifierTypeStateIssuer
X000201554MedicaidIA

National Provider Directory

National Provider Directory

Locations

610 W Maple St
Corydon, IA 50060
Phone (641) 872-3801

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1912067455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WEST MAPLE ST",
            "city": "CORYDON",
            "state": "IA",
            "postal_code": "50060",
            "telephone_number": "641-872-3801",
            "fax_number": "641-872-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 WEST MAPLE ST",
            "city": "CORYDON",
            "state": "IA",
            "postal_code": "50060",
            "telephone_number": "641-872-3801",
            "fax_number": "641-872-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C AND J QUALITY JOBS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "POINDEXTER",
        "authorized_official_first_name": "SHAWNNA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "641-872-3801"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "X000201554",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corydon, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.