Provider Demographics
NPI:1629468558
Name:JESSE R. KIRCHHOFF
Entity Type:Organization
Organization Name:JESSE R. KIRCHHOFF
Other - Org Name:HANDYMAN SOLUTIONS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JESSE
Authorized Official - Middle Name:R
Authorized Official - Last Name:KIRCHHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-635-2708
Mailing Address - Street 1:113 JAYCEE DR
Mailing Address - Street 2:SUITE 108
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65109-1094
Mailing Address - Country:US
Mailing Address - Phone:573-635-2708
Mailing Address - Fax:866-468-2970
Practice Address - Street 1:113 JAYCEE DR
Practice Address - Street 2:SUITE 108
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65109-1094
Practice Address - Country:US
Practice Address - Phone:573-635-2708
Practice Address - Fax:866-468-2970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-30
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities