Organization Active NPI

St Jude Cares LLC

  • In Home Supportive Care Agency
  • Bellflower, CA
National Provider Identifier
1053148692
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ST JUDE CARES LLC
Practice address
9649 Harvard St
Bellflower, CA 90706-3632
Phone
(657) 642-9254
NPI assigned
Sep 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maine Jaring
Title
Owner
Phone
(562) 486-8370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

9649 Harvard St
Bellflower, CA 90706-3632

Mailing address

9649 Harvard St
Bellflower, CA 90706-3632
Phone (657) 642-9254

Other names 1

  • ST JUDE CARES LLC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1053148692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9649 HARVARD ST",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907063632",
            "telephone_number": "657-642-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9649 HARVARD ST",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907063632",
            "telephone_number": "657-642-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JUDE CARES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "JARING",
        "authorized_official_first_name": "MAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-486-8370"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST JUDE CARES LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.