=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609466994
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JRRO, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/21/2021
-----------------------------------------------------
Last Update Date | 05/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1673 HIGHWAY 53
-----------------------------------------------------
City | POPLAR BLUFF
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63901-4132
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 573-776-6501
-----------------------------------------------------
Fax | 573-776-6502
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1673 HIGHWAY 53
-----------------------------------------------------
City | POPLAR BLUFF
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63901-4132
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 573-776-6501
-----------------------------------------------------
Fax | 573-778-6502
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | MELISSA ANN HALBMAIER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 573-707-0278
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------