M Jean Enterprises Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

M JEAN ENTERPRISES INC

Doing business as

FLINTWOOD CARE HOME

Practice address

36614 Flintwood Dr
Newark, CA 94560-2636

Phone

(510) 579-7444

Fax

(510) 790-2976

NPI assigned

Jun 20, 2024

Organization subpart

No

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

Authorized official

Name

Marie Jean Holt

Title

Licensee Administrator

Phone

(510) 579-7444

Specialties & licenses 1

Addresses

Other names 1

• FLINTWOOD CARE HOME Doing business as

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1194569590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36614 FLINTWOOD DR",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945602636",
            "telephone_number": "510-579-7444",
            "fax_number": "510-790-2976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36614 FLINTWOOD DR",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945602636",
            "telephone_number": "510-579-7444",
            "fax_number": "510-790-2976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M JEAN ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "MARIE JEAN",
        "authorized_official_title_or_position": "LICENSEE ADMINISTRATOR",
        "authorized_official_telephone_number": "510-579-7444"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLINTWOOD CARE HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luxottica of America Inc.
• Alvin Luyon
• Mark Luyon
• Richard Vu-Anh Ly, O.D.
• Louisa Lynn
• Jiahui Ma, LA.C
• Mengyang Ma
• Kathleen Claudia Mabie, CCC-SLP
• Gemilia Macaranas
• Jaimie Macdonald

• Assisted Living Facility in Newark, CA
• Providers in Newark, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.