NPIMap

Organization Active NPI

Jonbec Care Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Grand Terrace, CA
National Provider Identifier
1447397120
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
JONBEC CARE INC
Practice address
22130 Mavis St
Grand Terrace, CA 92313-5611
Phone
(909) 370-2129
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Becky J Joseph, ADMINISTRATOR
Title
C.F.O.
Phone
(909) 798-4003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X CA Primary

Addresses

Primary practice location

22130 Mavis St
Grand Terrace, CA 92313-5611

Mailing address

PO Box 10788
San Bernardino, CA 92423-0788
Phone (909) 798-4003

Other identifiers 1

IdentifierTypeStateIssuer
LTC60502GMedicaidCA

Other names 1

  • MAVIS DIVISION Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G622

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Mavis Division
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Oct 26, 1992
Last certification
Apr 15, 2025
Beds
6
Ownership / control type
Private (proprietary)
Facility address
22130 Mavis St
Grand Terrace, CA 92313

National Provider Directory

National Provider Directory
Tax ID family
Jonbec Care Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447397120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10788",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924230788",
            "telephone_number": "909-798-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22130 MAVIS ST",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135611",
            "telephone_number": "909-370-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONBEC CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "909-798-4003",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC60502G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAVIS DIVISION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Terrace, CA

Sources for this page

Verify at the official NPI Registry.