Jay-Randolph Developmental Services, Inc.

LBN: Jay-Randolph Developmental Services, Inc.
Jay-Randolph Developmental Services, Inc. is an health care organization with primary practice located at 901 E Water St , Portland IN 47371-2038. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Jay-Randolph Developmental Services, Inc. can be contacted via phone (260) 726-7931, or through Young, Anita via phone (260) 726-7931.

Contact Information

Primary practice address
901 E Water St Portland IN 47371-2038
Phone: (260) 726-7931
Fax: (260) 726-8184
Website:
Map and Directions
Authorized official contact:
Name: Young, Anita
Phone: (260) 726-7931

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 2623I0005JN06 Indiana
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 2623I0004JN07 Indiana
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 2623B0006JN06 Indiana
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 2623T0003JN07 Indiana

Profile Details

NPI number 1831143478
LBN Legal business name Jay-Randolph Developmental Services, Inc.
DBA Doing business as
Authorized official Young, Anita
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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