JAVIISH INDUSTRIES LLC – NPI #1124964572
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

JAVIISH INDUSTRIES LLC is a provider located in FLORISSANT, MO. NPPES recently assigned the NPI number 1124964572 to JAVIISH INDUSTRIES LLC on April 28, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

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 JAVIISH INDUSTRIES LLC below.

NPI Profile for
JAVIISH INDUSTRIES LLC

NPI Number
1124964572
Enumeration Date

(about 5 weeks 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
JAVIISH INDUSTRIES LLC
Primary location
12189 RED LION DR
FLORISSANT, MO 63033-7835
Phone: (314) 409-7074 Fax: (314) 409-7074
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JACQUELINE HICKMAN
MANAGER
Phone: (314) 409-7074
Updated
Certification Date
Apr 27, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
208D00000X
- General Practice (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.