Organization Active NPI

Caregivers Etc.

  • Adult Care Home Facility
  • Yucaipa, CA
National Provider Identifier
1255573473
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
CAREGIVERS ETC.
Practice address
33515 Pembrook PL
Yucaipa, CA 92399-3431
Phone
(909) 557-7496
Fax
(909) 790-6503
NPI assigned
Apr 2, 2009
Last updated
Apr 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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

Authorized official

Name
Jennifer Lynn Looysen, RN
Title
Owner
Phone
(909) 557-7496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NU Primary

Addresses

Primary practice location

33515 Pembrook PL
Yucaipa, CA 92399-3431

Mailing address

33515 Pembrook PL
Yucaipa, CA 92399-3431
Phone (909) 557-7496

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1255573473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33515 PEMBROOK PL",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923993431",
            "telephone_number": "909-557-7496",
            "fax_number": "909-790-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33515 PEMBROOK PL",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923993431",
            "telephone_number": "909-557-7496",
            "fax_number": "909-790-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREGIVERS ETC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "LOOYSEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-557-7496",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.