=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073407417
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RJJ INVESTMENTS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/09/2025
-----------------------------------------------------
Last Update Date | 06/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 328 E 17TH AVE
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43201-1712
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-429-3133
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7479 SUGARBARK CT
-----------------------------------------------------
City | CANAL WINCHESTER
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43110-3401
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-412-6610
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | REGINALD JENKINS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 740-412-6610
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 310400000X
-----------------------------------------------------
Taxonomy Name | Assisted Living Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------