E&S Jensen Inc.

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

E&S JENSEN INC.

Practice address

20560 N Davis Rd
Lodi, CA 95242-9608

Phone

(916) 247-6264

Fax

(209) 366-6831

NPI assigned

Dec 10, 2019

Organization subpart

Yes

Parent organization

THE JENSEN HOMEAs reported in NPPES

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

Authorized official

Name

Sherri Lynn Rossell-Jensen

Title

Cfo/Administrator

Phone

(916) 247-6264

Specialties & licenses 1

Addresses

Tax ID family

Es Jensen Inc2 organizations share this tax ID, including this one

Part of

Es Jensen Inc

Other organizations with this tax ID 1

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

• E&S Jensen Inc.

  dba Sherri Rossell's Care Home

  • Psychiatric Residential Treatment Facility
  • Elk Grove, CA
  • NPI 1043833734
  NPD tax ID

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1447897368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9629 RIDGEROCK DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956244461",
            "telephone_number": "916-247-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20560 N DAVIS RD",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952429608",
            "telephone_number": "916-247-6264",
            "fax_number": "209-366-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E&S JENSEN INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE JENSEN HOME",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "ROSSELL-JENSEN",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CFO/ADMINISTRATOR",
        "authorized_official_telephone_number": "916-247-6264"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David William Duncan, MD
• Jessica Duncan, DPT
• Lily Duong, PHARMD
• Robert Williams Dupree Jr., O.D.
• Cherice L Dyer
• Edward Lester Krager (Phoenix Mental Wellness Group)
• Chad O Edwards, MS, RD
• Derrick Egi, PHARM D
• Ehlers Holdings Inc (Ehlers Health Supply)
• Inshah Ehsan

• Psychiatric Residential Treatment Facility in Lodi, CA
• Providers in Lodi, CA by specialty
• Psychiatric Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.