Provider Demographics
NPI:1083866552
Name:JOY HOME, INC.
Entity Type:Organization
Organization Name:JOY HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:A
Authorized Official - Last Name:SAWYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-455-3224
Mailing Address - Street 1:PO BOX 26
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:KS
Mailing Address - Zip Code:67119-0026
Mailing Address - Country:US
Mailing Address - Phone:620-455-3224
Mailing Address - Fax:620-455-3284
Practice Address - Street 1:419 NO PACIFIC AVE.
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:KS
Practice Address - Zip Code:67119
Practice Address - Country:US
Practice Address - Phone:620-455-3224
Practice Address - Fax:620-455-3284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-16
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSB096017310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility