J & J Residential Services Incorporated

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

License

4110054 Issued in OH

Legal business name

J & J RESIDENTIAL SERVICES INCORPORATED

Practice address

43 Greene Street
Smithfield, OH 43948

Phone

(740) 733-7095

Fax

(740) 733-8509

NPI assigned

Nov 4, 2010

Last updated

Nov 4, 2010By 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. Donald Anderson Cline Jr.

Title

Owner/President

Phone

(740) 733-7095

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1912208133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 TANNER STREET",
            "city": "SMITHFIELD",
            "state": "OH",
            "postal_code": "43948",
            "telephone_number": "740-733-7095",
            "fax_number": "740-733-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 GREENE STREET",
            "city": "SMITHFIELD",
            "state": "OH",
            "postal_code": "43948",
            "telephone_number": "740-733-7095",
            "fax_number": "740-733-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & J RESIDENTIAL SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "ANDERSON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "740-733-7095",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "OH",
            "license": "4110054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "4100574",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J&J Residential Services Inc.
• Smithfield Emergency Squad Inc
• Smithfield Fire and Rescue

• Child Intellectual and/or Developmental Disabilities Respite Care in Smithfield, OH
• Providers in Smithfield, OH by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.