Active NPI
Janray Home, Inc.
- Nursing Facility/Intermediate Care Facility
- La Mirada, CA
National Provider Identifier
1114105970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- LTC80406F
- Legal business name
- JANRAY HOME, INC.
- Practice address
- 15695 Hesse Dr
La Mirada, CA 90638-5447 - Phone
- (562) 773-5700
- NPI assigned
- Feb 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ramon Baesa
- Title
- Owner
- Phone
- (562) 818-9290
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | LTC80406F | CA | Primary |
Addresses
Primary practice location
15695 Hesse Dr
La Mirada, CA 90638-5447
Mailing address
15695 Hesse Dr
La Mirada, CA 90638-5447
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G582
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- JANRAY HOME II
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Oct 11, 2007
- Last certification
- May 14, 2025
- Beds
- 6
- Ownership / control type
- Private (proprietary)
- Facility address
- 15695 Hesse Drive
La Mirada, CA 90638
National Provider Directory
National Provider Directory- Tax ID family
- Janray Home
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- La Mirada, CA
- NPI 1154519015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202083200000",
"number": "1114105970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15695 HESSE DR",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906385447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15695 HESSE DR",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906385447",
"telephone_number": "562-773-5700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JANRAY HOME, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-04",
"last_updated": "2008-02-04",
"status": "A",
"authorized_official_last_name": "BAESA",
"authorized_official_first_name": "RAMON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "562-818-9290"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "CA",
"license": "LTC80406F",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Mirada, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.