Jukeco Enterprises LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

LC001511052 Issued in MO

Legal business name

JUKECO ENTERPRISES LLC

Doing business as

Brunswick Nursing Home

Practice address

721 W Harrison St
Brunswick, MO 65236-1096

Phone

(660) 548-3182

Fax

(660) 548-3813

NPI assigned

Nov 9, 2016

Last updated

Nov 9, 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

Julie Marie Reichert, RN, LNHA

Title

Manager

Phone

(660) 414-8502

Specialties & licenses 1

Addresses

Other names 1

• Brunswick Nursing Home Doing business as

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1922540848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19640 IOWAS RD",
            "city": "BRUNSWICK",
            "state": "MO",
            "postal_code": "652362317",
            "telephone_number": "660-414-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W HARRISON ST",
            "city": "BRUNSWICK",
            "state": "MO",
            "postal_code": "652361096",
            "telephone_number": "660-548-3182",
            "fax_number": "660-548-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUKECO ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "REICHERT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "660-414-8502",
        "authorized_official_credential": "RN, LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "LC001511052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brunswick Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joanie M Defibaugh, LCSW
• Jessica L Elliott, MS CCC SLP
• Danielle Elizabeth Hamilton, LPTA
• Jefferson Medical Group
• John Fitzgibbon Memorial Hospital, Inc. (Grand River Medical Center)
• Margaret J Larson, SLP
• Lightning Creek Investment Group,Inc (Brunswick Nursing Home)
• Trent Link, FNP
• Nancy J Lock
• Paige McHugh

• Skilled Nursing Facility in Brunswick, MO
• Providers in Brunswick, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.