Provider Demographics
NPI:1881930279
Name:J & S HOMES, INC.
Entity type:Organization
Organization Name:J & S HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JESSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:COLLEGE BS
Authorized Official - Phone:256-303-2753
Mailing Address - Street 1:114 CORWIN DR
Mailing Address - Street 2:
Mailing Address - City:HARVEST
Mailing Address - State:AL
Mailing Address - Zip Code:35749-9300
Mailing Address - Country:US
Mailing Address - Phone:256-325-2509
Mailing Address - Fax:256-686-0270
Practice Address - Street 1:114 CORWIN DR
Practice Address - Street 2:114 CORWIN DR.
Practice Address - City:HARVEST
Practice Address - State:AL
Practice Address - Zip Code:35749-9300
Practice Address - Country:US
Practice Address - Phone:256-325-2509
Practice Address - Fax:256-686-0270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-12
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL20121447320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities