J&T Home Care

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

J&T HOME CARE

Practice address

19213 Nestor Ave
Carson, CA 90746-2605

Phone

(424) 338-6096

NPI assigned

Apr 16, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Josefina D DuranNPI 1134245624

Title

Licensee

Phone

(310) 951-8034

Specialties & licenses 1

Addresses

Other identifiers 1

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 1235759580. Details of each certification follow.

• CCN 55G781 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G781

Legal name

J & T HOME CARE

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Jun 11, 2019

Last certification

Jan 7, 2026

Beds

6

Ownership / control type

Private (proprietary)

Facility address

19213 Nestor Avenue
Carson, CA 90746

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Josefina Dabu Duran

  • Licensed Vocational Nurse
  • Carson, CA
  • NPI 1134245624
  NPD (past) Authorized official

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1235759580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19213 NESTOR AVE",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907462605",
            "telephone_number": "424-338-6096",
            "fax_number": "424-378-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19213 NESTOR AVE",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907462605",
            "telephone_number": "424-338-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&T HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-16",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "DURAN",
        "authorized_official_first_name": "JOSEFINA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "310-951-8034",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "550004419",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Intellectual Disabilities Intermediate Care Facility in Carson, CA
• Providers in Carson, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.