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JASOB SUPPORTED LIVING, LLC
NPI 1467223552
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Johnston, IA

Active since January 09, 2024
10436 SOUTHERWICK PL, JOHNSTON, IA 50131(515) 745-4982 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jasob Supported Living, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASOB SUPPORTED LIVING, LLC (NPI 1467223552) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Johnston, Iowa and active in the NPI registry since January 2024. The organization lists Barituka Ade, Owner, as its authorized official.

NPPES Registry Identity

NPI1467223552
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameJASOB SUPPORTED LIVING, LLC
Location Address10436 SOUTHERWICK PLJohnston, IA 50131-2560
Mailing Address8805 Chambery Blvd Ste 300Johnston, IA 50131-8816
Phone(515) 745-4982
Organization SubpartNo
Authorized OfficialBarituka AdeOwner · (515) 745-4982
Enumeration DateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
✔ NPI 1467223552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
10436 SOUTHERWICK PL, Johnston, IA 50131
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jasob Supported Living, LLC's NPI number?

The NPI number for Jasob Supported Living, LLC is 1467223552. It was assigned to this organization in the NPPES registry on January 9, 2024.

Where is Jasob Supported Living, LLC located?

Jasob Supported Living, LLC is located at 10436 Southerwick Pl, Johnston, IA 50131. The listed phone number is (515) 745-4982.

What is Jasob Supported Living, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Jasob Supported Living, LLC was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.