Provider Demographics
NPI:1275520454
Name:J & L HEALTHCARE CONSULTANTS LLC
Entity Type:Organization
Organization Name:J & L HEALTHCARE CONSULTANTS LLC
Other - Org Name:JOYRICH HEALTHCARE CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WAGNER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:859-797-5558
Mailing Address - Street 1:2387 PROFESSIONAL HEIGHTS DR STE 180
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-3013
Mailing Address - Country:US
Mailing Address - Phone:859-967-9486
Mailing Address - Fax:859-368-7780
Practice Address - Street 1:2387 PROFESSIONAL HEIGHTS DR STE 180
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-3013
Practice Address - Country:US
Practice Address - Phone:859-967-9486
Practice Address - Fax:859-368-7780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-03
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY78903960Medicaid
KY78903960Medicaid
KYP100018686Medicare PIN