J & R Healthy Living Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

J & R HEALTHY LIVING INC.

Doing business as

JC Corona ADHC

Practice address

13627 Magnolia Ave
Corona, CA 92879-2038

Phone

(562) 708-6863

Fax

(951) 531-8043

NPI assigned

Dec 15, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Ramy Massoud, OWNER

Title

President/Ceo

Phone

(562) 708-6863

Specialties & licenses 1

Addresses

Other names 1

• JC Corona ADHC Doing business as

Locations

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1477212520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13877 HOLLYWOOD AVE",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928808822",
            "telephone_number": "562-708-6863",
            "fax_number": "951-977-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13627 MAGNOLIA AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928792038",
            "telephone_number": "562-708-6863",
            "fax_number": "951-531-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & R HEALTHY LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-15",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "MASSOUD",
        "authorized_official_first_name": "RAMY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "562-708-6863",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JC Corona ADHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Corona, CA
• Providers in Corona, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.