CALVIN JAYNE QUALITY LIVING, LLC – NPI #1275072993
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

CALVIN JAYNE QUALITY LIVING, LLC is a community based residential treatment facility located in DISPUTANTA, VA. NPPES has assigned the NPI number 1275072993 to CALVIN JAYNE QUALITY LIVING, LLC on February 14, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

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 CALVIN JAYNE QUALITY LIVING, LLC below.

NPI Profile for
CALVIN JAYNE QUALITY LIVING, LLC

NPI Number
1275072993
Enumeration Date

(more than 9 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
CALVIN JAYNE QUALITY LIVING, LLC
Primary location
6688 TATUM RD
DISPUTANTA, VA 23842-6902
Phone: (804) 550-8674 Fax: (804) 251-1299
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JENNIFER WHITE
MANAGING MEMBER
Phone: (804) 550-8674
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
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 VA 2182-01-002

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.