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Organization Active NPI

Genuine Queens JCL Care

Doing business as Genuine Queena JCL Care

  • PACE Provider Organization
  • San Antonio, TX
National Provider Identifier
1174971865
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
GENUINE QUEENS JCL CARE
Doing business as
Genuine Queena JCL Care
Practice address
3730 S Loop 1604 E
San Antonio, TX 78264-9551
Phone
(210) 649-5653
NPI assigned
Jun 3, 2016
Last updated
Jun 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Authorized official

Name
Miss Lkiendria Trischuan Johnson
Title
Owner
Phone
(210) 649-5653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X Primary

Addresses

Primary practice location

3730 S Loop 1604 E
San Antonio, TX 78264-9551

Mailing address

PO Box 10306
San Antonio, TX 78210-0306
Phone (210) 649-5653

Other names 1

  • GENUINE QUEENA JCL CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lisa M Degennaro103 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 8

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

3730 S Loop 1604 E
San Antonio, TX 78264
Phone (210) 649-5653

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1174971865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10306",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782100306",
            "telephone_number": "210-649-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 S LOOP 1604 E",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782649551",
            "telephone_number": "210-649-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENUINE QUEENS JCL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LKIENDRIA",
        "authorized_official_middle_name": "TRISCHUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-649-5653",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GENUINE QUEENA JCL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.