National Provider Identifier Database

JASPER SENIOR LIVING LLC
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.


Contact Information

JASPER SENIOR LIVING LLC
2100 VIKING DR
JASPER, AL35501-0112
Phone: 205-384-0660
Fax: 503-485-1279
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X
Alzheimer Center /Dementia Center/Dementia Special Care Unit 311500000X

* Indicates primary specialty

NPI Profile & details for JASPER SENIOR LIVING LLC

NPI Number 1043438633
Legal business name
LBN
JASPER SENIOR LIVING LLC
Authorized official JON HARDER - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 04/22/2007
Last updated 07/22/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • AL License #: D6412
  • AL License #: P6401

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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