JJR Enterprises Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

0043810 Issued in IL

Legal business name

JJR ENTERPRISES INC

Practice address

4241 Lincolnshire Dr
Mount Vernon, IL 62864-2157

Phone

(618) 242-0132

Fax

(618) 242-9180

NPI assigned

Nov 20, 2006

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

• SUTTON HOUSE Doing business as

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962576769",
    "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": "4241 LINCOLNSHIRE DR",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642157",
            "telephone_number": "618-242-0132",
            "fax_number": "618-242-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJR ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "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": "0043810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER IDENTIFICATION #",
            "identifier": "14G198",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LG TERM CARE ICF DD 16",
            "identifier": "0043810",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID",
            "identifier": "6011860",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUTTON HOUSE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jefferson County Comprehensive SVC Inc
• Amy Jo Jenkins, LPN
• Judy K Jenkins, LPN
• Brittany L Jerger
• JJR Enterprises Inc
• John Hall MD Rural Health Services
• John Hall, M.D., P.C.
• Andrew Robert Johnson, M.D.
• Diane C Johnson, LCSW
• Mallory Johnston, MHP

• Intellectual Disabilities Intermediate Care Facility in Mount Vernon, IL
• Providers in Mount Vernon, 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.