Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
JJR ENTERPRISES INC
Active
Organization
JJR ENTERPRISES INC
Active
Other names
STUART ESTATES
Organization subpart
No
Provider details
NPI number
Authorized official
BETH A QUICK (VICE PRESIDENT)
(618) 244-7701
Entity
Organization
Contact information
Practice address
13 NORTHBROOK DR, MC LEANSBORO, IL 62859-1342
(618) 643-3566
(618) 643-2577
Mailing address
PO BOX 705, MOUNT VERNON, IL 62864-0015
(618) 244-7701
(618) 244-7704
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0043802
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0043802
LG TERM CARE ICF DD 16
IL
01
—
14G222
PROVIDER IDENTIFICATION #
IL
01
—
6012272
FACILITY ID
IL
Enumeration date
11/20/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up