Organization Active NPI

Jr Legacy Housing

  • Respite Care
  • Apple Valley, CA
National Provider Identifier
1356137806
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
JR LEGACY HOUSING
Practice address
15833 Sago Rd
Apple Valley, CA 92307-2813
Phone
(626) 497-5377
NPI assigned
Apr 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Authorized official

Name
Khristine Mesias
Title
Owner
Phone
(626) 497-5377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

15833 Sago Rd
Apple Valley, CA 92307-2813

Mailing address

15833 Sago Rd
Apple Valley, CA 92307-2813
Phone (626) 497-5377

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1356137806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15833 SAGO RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072813",
            "telephone_number": "626-497-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15833 SAGO RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072813",
            "telephone_number": "626-497-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JR LEGACY HOUSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "MESIAS",
        "authorized_official_first_name": "KHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-497-5377"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.