Provider Demographics
NPI:1679335806
Name:JAYBIRD HOLDINGS CMP LLC
Entity Type:Organization
Organization Name:JAYBIRD HOLDINGS CMP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMMUNITY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOYNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-423-7722
Mailing Address - Street 1:17396 KINGBIRD AVE
Mailing Address - Street 2:
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-9260
Mailing Address - Country:US
Mailing Address - Phone:641-423-7722
Mailing Address - Fax:641-421-7504
Practice Address - Street 1:17396 KINGBIRD AVE
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-9260
Practice Address - Country:US
Practice Address - Phone:641-423-7722
Practice Address - Fax:641-421-7504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility