Active NPI
J & J Assisted Living LLC
Doing business as J & J Residential Care Facility II
- Assisted Living Facility (Mental Illness)
- Marble Hill, MO
National Provider Identifier
1982201935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- Legal business name
- J & J ASSISTED LIVING LLC
- Doing business as
- J & J Residential Care Facility II
- Practice address
- 104 Wesbecher LN
Marble Hill, MO 63764 - Phone
- (573) 238-4602
- Fax
- (573) 238-3233
- NPI assigned
- Oct 2, 2020
- Last updated
- Oct 26, 2020
- Organization subpart
- Yes
- Parent organization
- J & J ASSISTED LIVING LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barbara Jean Grebing, BS
- Title
- Rcal Administrator/Owner
- Phone
- (573) 450-8047
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | Primary |
Addresses
Primary practice location
104 Wesbecher LN
Marble Hill, MO 63764
Mailing address
PO Box 378
Marble Hill, MO 63764-0378
Phone (573) 238-4602
Other names 1
- J & J Residential Care Facility II
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2129775 | J & J Residential Care Facility II | Certificate of waiver | Apr 24, 2027 |
National Provider Directory
National Provider Directory- Part of
- J J Assisted Living LLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Assisted Living Facility (Mental Illness)
- Marble Hill, MO
- NPI 1760669626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603670400000",
"number": "1982201935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 378",
"city": "MARBLE HILL",
"state": "MO",
"postal_code": "637640378",
"telephone_number": "573-238-4602",
"fax_number": "573-238-3233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 WESBECHER LN",
"city": "MARBLE HILL",
"state": "MO",
"postal_code": "63764",
"telephone_number": "573-238-4602",
"fax_number": "573-238-3233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J & J ASSISTED LIVING LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "J & J ASSISTED LIVING LLC",
"enumeration_date": "2020-10-02",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A",
"authorized_official_last_name": "GREBING",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "RCAL ADMINISTRATOR/OWNER",
"authorized_official_telephone_number": "573-450-8047",
"authorized_official_credential": "BS"
},
"taxonomies": [
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "J & J Residential Care Facility II",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marble Hill, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.