J & J Habilitation Services

LBN: J & J Habilitation Services
J & J Habilitation Services is an health care organization with primary practice located at 4646 Poplar Ave Ste 440 , Memphis TN 38117-4434. The organization recently has 6 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Rehabilitation, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Physical Disabilities, Child. Agencies / Community/Behavioral Health is the primary health care specialty. J & J Habilitation Services can be contacted via phone (786) 569-7649, or through Wallace, Elizabeth via phone (786) 569-7649.

Contact Information

Primary practice address
4646 Poplar Ave Ste 440 Memphis TN 38117-4434
Phone: (786) 569-7649
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Elizabeth
Phone: (786) 569-7649

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X
Respite Care Facility / Respite Care, Physical Disabilities, Child 385HR2065X

Profile Details

NPI number 1427670744
LBN Legal business name J & J Habilitation Services
DBA Doing business as
Authorized official Wallace, Elizabeth
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2020
Last updated Jan 6th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427670744 NPPES
Tennessee MEDICAID Q061184

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