Organization Active NPI

Jonbec Care Inc

Doing business as Pioneer Division

  • Intellectual Disabilities Intermediate Care Facility
  • Redlands, CA
National Provider Identifier
1124168711
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
JONBEC CARE INC
Doing business as
Pioneer Division
Practice address
840 E Pioneer Ave
Redlands, CA 92374-1802
Phone
(909) 793-0275
NPI assigned
Feb 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Becky J Joseph, ADMINISTRATOR
Title
C.F.O.
Phone
(909) 798-4003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X CA Primary

Addresses

Primary practice location

840 E Pioneer Ave
Redlands, CA 92374-1802

Mailing address

PO Box 10788
San Bernardino, CA 92423-0788
Phone (909) 798-4003

Other identifiers 1

IdentifierTypeStateIssuer
LTC60278HMedicaidCA

Other names 1

  • PIONEER DIVISION Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124168711. Details of each certification follow.

  • CCN 05G416 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G416

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
Pioneer House
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Nov 16, 1989
Last certification
Mar 19, 2025
Beds
6
Ownership / control type
Private (proprietary)
Facility address
840 E Pioneer Ave
Redlands, CA 92374

National Provider Directory

National Provider Directory
Tax ID family
Jonbec Care Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124168711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10788",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924230788",
            "telephone_number": "909-798-4003",
            "fax_number": "909-798-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 E PIONEER AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923741802",
            "telephone_number": "909-793-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONBEC CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "909-798-4003",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC60278H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIONEER DIVISION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.