# JAYBIRD SENIOR LIVING, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jaybird Senior Living
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174313209
- **Authorized official:** KEVIN RUSSELL (OWNER)
- **Authorized official phone:** (800) 366-6716

## Contact information

- **Practice address:** 200 35TH STREET DR SE, CEDAR RAPIDS, IA 52403-1323
- **Practice address phone:** (800) 366-6716
- **Practice address fax:** (319) 362-3067
- **Mailing address:** 200 35TH STREET DR SE, CEDAR RAPIDS, IA 52403-1323
- **Mailing address phone:** (800) 366-6716
- **Mailing address fax:** (319) 362-3067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/12/2025
- **Last updated:** 05/12/2025