Organization Active NPI

Jurado Enterprises

  • Intellectual Disabilities Intermediate Care Facility
  • Chino, CA
National Provider Identifier
1194878876
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
JURADO ENTERPRISES
Practice address
6206 Walnut Ave
Chino, CA 91710-2774
Phone
(909) 627-0422
Fax
(909) 627-7533
NPI assigned
Jan 18, 2007
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
Mr. Ricardo Jurado
Title
Admistrator
Phone
(909) 772-9158

Specialties & licenses 1

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

Addresses

Primary practice location

6206 Walnut Ave
Chino, CA 91710-2774

Mailing address

17870 Castleton St Ste 317
City of Industry, CA 91748-6716
Phone (626) 935-0606

Other identifiers 1

IdentifierTypeStateIssuer
LTC60842FOtherCAPROVIDER

National Provider Directory

National Provider Directory
Tax ID family
Jurado Enterprises2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194878876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17870 CASTLETON ST STE 317",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917486716",
            "telephone_number": "626-935-0606",
            "fax_number": "626-935-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6206 WALNUT AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102774",
            "telephone_number": "909-627-0422",
            "fax_number": "909-627-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JURADO ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JURADO",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "ADMISTRATOR",
        "authorized_official_telephone_number": "909-772-9158",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER",
            "identifier": "LTC60842F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.