Healthcare Provider Details

I. General information

NPI: 1104615517
Provider Name (Legal Business Name): J&J CONSULTING GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2025
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6679 BALSAM DR
BEDFORD HEIGHTS OH
44146-4804
US

IV. Provider business mailing address

6679 BALSAM DR
BEDFORD HEIGHTS OH
44146-4804
US

V. Phone/Fax

Practice location:
  • Phone: 216-240-1321
  • Fax:
Mailing address:
  • Phone: 216-240-1321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: JESSICA L JONES
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 216-240-1321