JJR Enterprises Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

0043794 Issued in IL

Legal business name

JJR ENTERPRISES INC

Doing business as

Meadowbrook Estates

Practice address

319 N Locust St
MC Leansboro, IL 62859-1343

Phone

(618) 643-2036

Fax

(618) 643-3084

NPI assigned

Nov 16, 2006

Last updated

Aug 22, 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

Beth A Quick

Title

Vice President

Phone

(618) 244-7701

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• MEADOWBROOK ESTATES Doing business as

Locations

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952474272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 705",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628640015",
            "telephone_number": "618-244-7701",
            "fax_number": "618-244-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 N LOCUST ST",
            "city": "MC LEANSBORO",
            "state": "IL",
            "postal_code": "628591343",
            "telephone_number": "618-643-2036",
            "fax_number": "618-643-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJR ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUICK",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "618-244-7701"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IL",
            "license": "0043794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LG TERM CARE ICF DD 16",
            "identifier": "0043794",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID",
            "identifier": "6011399",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER IDENTIFICATION #",
            "identifier": "14G170",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEADOWBROOK ESTATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa L Healy, PTA
• Wesley J Henson, F.N.P.
• Alec Bruce Hood, MD
• Norman Eugene Howe, CRNA
• JJR Enterprises Inc (Stuart Estates)
• Angela Marie Johnson, M.S.
• Heather Johnson
• Joyce Bechtel Counseling
• Joyner Therapy Services
• Kadhiresan Murugappan S C

• Intellectual Disabilities Intermediate Care Facility in McLeansboro, IL
• Providers in McLeansboro, IL by specialty
• Intellectual Disabilities Intermediate Care Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.