Organization 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
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
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, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
J & J ASSISTED LIVING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2129775J & J Residential Care Facility II104 Wesbecher Lane, Marble Hill, MO 63764Certificate of waiverApr 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.

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.

Verify at the official NPI Registry.