JIM MANOR – NPI #1275975187
Clinic/Center

JIM MANOR is an AHC clinic located in MANASSAS, VA. NPPES has assigned the NPI number 1275975187 to JIM MANOR on July 19, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JIM MANOR” is a dba name, the actual legal business name for this organization is JIM ENTERPRISE INC. The primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JIM MANOR below.

NPI Profile for
JIM ENTERPRISE INC

NPI Number
1275975187
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JIM ENTERPRISE INC
Doing Business As (dba): JIM MANOR
Primary location
10525 LARIAT LANE #33
MANASSAS, VA 20109
Phone: (866) 200-8989 Fax: (202) 446-0893
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MERRIL MCMILLIAN
PRESIDENT
Phone: (866) 200-8989
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.