K & J Care Enterprises, Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

K & J CARE ENTERPRISES, INC.

Doing business as

Joy Adult Care Center

Practice address

614 S Main St
Clinton, MO 64735-2620

Phone

(660) 885-7412

Fax

(866) 567-0791

NPI assigned

Apr 28, 2019

Organization subpart

No

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

Authorized official

Name

Kathy S McCrary

Title

Owner

Phone

(417) 773-1892

Specialties & licenses 1

Addresses

Other names 1

• Joy Adult Care Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1556409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556409600000",
    "number": "1952965667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9655",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658019655",
            "telephone_number": "417-773-1892",
            "fax_number": "866-567-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 S MAIN ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352620",
            "telephone_number": "660-885-7412",
            "fax_number": "866-567-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & J CARE ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-28",
        "last_updated": "2019-04-28",
        "status": "A",
        "authorized_official_last_name": "MCCRARY",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-773-1892"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joy Adult Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal L Jones, MD
• Deana Lyn Jones, RN
• Kenneth E Jones, DO
• Kimberly Michelle Jones, MD
• Angelic Jump, LPC
• Diana Keller, HIS
• Douglas R Kenney, M.D.
• Jamie L. Ketterman, RN, BSN, CDE
• Patience Kilgore, RBT
• Richard A Kimmell, MD

• Adult Care Home Facility in Clinton, MO
• Providers in Clinton, MO by specialty
• Adult Care Home Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.