Organization Active NPI

Jireh Healthcare Inc

  • Home Health Aide
  • Corona, CA
National Provider Identifier
1366391013
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
JIREH HEALTHCARE INC
Practice address
1611 Pomona Rd Ste 202
Corona, CA 92878-4324
Phone
(909) 256-2820
NPI assigned
Jan 26, 2026
Last updated
Jan 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Authorized official

Name
Stevano Lie
Title
Ceo
Phone
(303) 667-8179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X NU Primary

Addresses

Primary practice location

1611 Pomona Rd Ste 202
Corona, CA 92878-4324

Mailing address

1611 Pomona Rd Ste 202
Corona, CA 92878-4324
Phone (909) 256-2820

National Provider Directory

National Provider Directory

Locations

1611 Pomona Rd
Ste 202
Corona, CA 92878
Phone (800) 233-4202

NPI Registry JSON

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

{
    "created_epoch": "1769385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1366391013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 POMONA RD STE 202",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928784324",
            "telephone_number": "909-256-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 POMONA RD STE 202",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928784324",
            "telephone_number": "909-256-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIREH HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-26",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "LIE",
        "authorized_official_first_name": "STEVANO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-667-8179"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.