Jaire Home, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

306003736 Issued in CA

Legal business name

JAIRE HOME, INC.

Practice address

10602 Borwick St
Bellflower, CA 90706-6812

Phone

(562) 866-2959

NPI assigned

Apr 23, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Ariel Estrella Resurreccion

Title

President

Phone

(714) 240-7772

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1245405117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6945 E OVERLOOK TER",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928075136",
            "telephone_number": "714-240-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10602 BORWICK ST",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066812",
            "telephone_number": "562-866-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIRE HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "RESURRECCION",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_middle_name": "ESTRELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-240-7772",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "306003736",
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.