Organization Active NPI

Care Jeselle

  • Assisted Living Facility
  • Orange, CA
National Provider Identifier
1114558772
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CARE JESELLE
Practice address
2438 E Parkside Ave
Orange, CA 92867-4042
Phone
(657) 224-9380
NPI assigned
Jan 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Authorized official

Name
Shirley Natividad
Title
Manager
Phone
(562) 458-8395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2438 E Parkside Ave
Orange, CA 92867-4042

Mailing address

2438 E Parkside Ave
Orange, CA 92867-4042
Phone (657) 224-9380

Other identifiers 1

IdentifierTypeStateIssuer
306005548OtherCARCFE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL nativish@yahoo.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1114558772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2438 E PARKSIDE AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928674042",
            "telephone_number": "657-224-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2438 E PARKSIDE AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928674042",
            "telephone_number": "657-224-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE JESELLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "NATIVIDAD",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "562-458-8395"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RCFE",
            "identifier": "306005548",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nativish@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "nativish@yahoo.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2438 E Parkside Ave",
            "city": "Orange",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928674042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.