Active NPI
JL Registered Nursing Home Healthcare, Inc.
- In Home Supportive Care Agency
- Jackson, CA
National Provider Identifier
1376956169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- JL REGISTERED NURSING HOME HEALTHCARE, INC.
- Practice address
- 11992 State Highway 88
Suite 2046
Jackson, CA 95642-9404 - Phone
- (209) 223-9112
- NPI assigned
- Jun 9, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Chieu Thi Lipscomb, RN
- Title
- Owner/President
- Phone
- (408) 691-6974
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
11992 State Highway 88
Suite 2046
Jackson, CA 95642-9404
Mailing address
11992 State Highway 88
Suite 2046
Jackson, CA 95642-9404
Phone (209) 223-9112
Other names 1
- Interim Healthcare Personal Care and Support Services
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402272000000",
"number": "1376956169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11992 STATE HIGHWAY 88",
"address_2": "SUITE 2046",
"city": "JACKSON",
"state": "CA",
"postal_code": "956429404",
"telephone_number": "209-223-9112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11992 STATE HIGHWAY 88",
"address_2": "SUITE 2046",
"city": "JACKSON",
"state": "CA",
"postal_code": "956429404",
"telephone_number": "209-223-9112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JL REGISTERED NURSING HOME HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-09",
"last_updated": "2014-06-09",
"status": "A",
"authorized_official_last_name": "LIPSCOMB",
"authorized_official_first_name": "CHIEU",
"authorized_official_middle_name": "THI",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "408-691-6974",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Interim Healthcare Personal Care and Support Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jackson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.