Jolly Home Inc

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

JOLLY HOME INC

Practice address

9350 Jamaica Dr
Cutler Bay, FL 33189-1706

Phone

(786) 768-3132

Fax

(786) 250-5180

NPI assigned

Mar 19, 2021

Organization subpart

No

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

Authorized official

Name

Lina Pena

Title

Owner

Phone

(786) 768-3132

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1477139582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 JAMAICA DR",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331891706",
            "telephone_number": "786-768-3132",
            "fax_number": "786-250-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 JAMAICA DR",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331891706",
            "telephone_number": "786-768-3132",
            "fax_number": "786-250-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLLY HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "LINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-768-3132"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jollyhomeinc@gmail.com",
            "affiliation": "N",
            "address_1": "9350 Jamaica Dr",
            "city": "Cutler Bay",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331891706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vismary Jimenez
• Grace P. Johnson, MA, RD, LD
• Jeanine Daiana Johnson
• Kentrelle Johnson, RN
• Lindon Johnson
• Wendy Jones Perez
• Jorge Luna, DO
• Tahimi Jorges Mateos
• Jose Fernandez, M.D.P.a.
• Jose Luis Ruiz MD PA

• Assisted Living Facility (Mental Illness) in Cutler Bay, FL
• Providers in Cutler Bay, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.