J-J Qual-Zerv, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

960001041 Issued in CA

Legal business name

J-J QUAL-ZERV, INC.

Practice address

20318 Strathern St
Winnetka, CA 91306-2228

Phone

(818) 349-5141

Fax

(818) 349-4996

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jean Timbol

Title

Licensee

Phone

(323) 479-1936

Specialties & licenses 1

Addresses

Other names 1

• J-J Children's Home II Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G157

Legal name

J-J EXCELCARE HOME 2

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Jan 9, 1998

Last certification

Mar 6, 2025

Beds

6

Ownership / control type

Private (proprietary)

Facility address

20318 Strathern Street
Winnetka, CA 91306

Tax ID family

J-J Children'S Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• J-J Qual Care Home

  • Intellectual Disabilities Intermediate Care Facility
  • Los Angeles, CA
  • NPI 1679788566
  NPD tax ID
• J-J Qual-Zerv, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • West Hills, CA
  • NPI 1376758250
  NPD tax ID

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1114132008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20318 STRATHERN ST",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913062228",
            "telephone_number": "818-349-5141",
            "fax_number": "818-349-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20318 STRATHERN ST",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913062228",
            "telephone_number": "818-349-5141",
            "fax_number": "818-349-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J-J QUAL-ZERV, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "TIMBOL",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "323-479-1936",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "960001041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J-J Children's Home II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual Disabilities Intermediate Care Facility in Winnetka, CA
• Providers in Winnetka, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.

Verify at the official NPI Registry.