NPIMap

Organization Active NPI

Janet'S Enterprise, Inc

  • Nursing Facility/Intermediate Care Facility
  • Upland, CA
National Provider Identifier
1366080459
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
JANET'S ENTERPRISE, INC
Practice address
904 W 9TH St
Upland, CA 91786-4576
Phone
(951) 545-4462
Fax
(909) 577-0111
NPI assigned
Dec 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Authorized official

Name
Kathleen Janet Haywood
Title
Owner
Phone
(951) 545-4462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Primary

Addresses

Primary practice location

904 W 9TH St
Upland, CA 91786-4576

Mailing address

904 W 9TH St
Upland, CA 91786-4576
Phone (951) 545-4462

Other identifiers 1

IdentifierTypeStateIssuer
240000314MedicaidCA

Other names 1

  • Monterey House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Robinson House15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1366080459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 W 9TH ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864576",
            "telephone_number": "951-545-4462",
            "fax_number": "909-577-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 W 9TH ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864576",
            "telephone_number": "951-545-4462",
            "fax_number": "909-577-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANET'S ENTERPRISE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "HAYWOOD",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "JANET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-545-4462"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240000314",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monterey House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.