JJR ENTERPRISES INC NPI 1962576769

NPI Information

  • NPI: 1962576769
  • Provider Name: JJR ENTERPRISES INC
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Doing Business As: SUTTON HOUSE
  • Address: 4241 LINCOLNSHIRE DR
    MOUNT VERNON, IL
    ZIP 62864
  • Phone: (618) 242-0132

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NPI Details

JJR ENTERPRISES INC is an intermediate care facility mentally retarded in Mount Vernon, IL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. JJR ENTERPRISES INC NPI is 1962576769. The provider is registered as an organization entity type.
The provider Is Doing Business As Sutton House.

The provider's business location address is:

4241 LINCOLNSHIRE DR
MOUNT VERNON, IL
ZIP 62864-157
Phone: (618) 242-0132
Fax: (618) 242-9180

The provider's authorized official is Beth A Quick .
The authorized official title is Vice President and has the following contact phone number (618) 244-7701.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual Disabilities0043810ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
114G198OTHERILLINOISPROVIDER IDENTIFICATION #
20043810OTHERILLINOISLG TERM CARE ICF DD 16
36011860OTHERILLINOISFACILITY ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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