NPIMap

Organization Active NPI

Jonbec Care Inc

  • Adult Day Care Clinic/Center
  • Yucaipa, CA
National Provider Identifier
1487863544
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
JONBEC CARE INC
Practice address
12980 2ND St
Yucaipa, CA 92399-5604
Phone
(909) 790-4012
Fax
(909) 790-3615
NPI assigned
May 22, 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
Adult Day Care Clinic/Center 261QA0600X CA Primary

Addresses

Primary practice location

12980 2ND St
Yucaipa, CA 92399-5604

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
ADU70111FMedicaidCA

Other names 1

  • YUCAIPA ADULT DAY CENTER Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0989661Jonbec Care Inc Yucaipa Adult Day Ctr12980 2ND St, Yucaipa, CA 92399Certificate of waiverJul 31, 2027

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

Locations

12980 2nd St
Yucaipa, CA 92399
Phone (909) 790-4012

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487863544",
    "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",
            "fax_number": "909-798-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12980 2ND ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923995604",
            "telephone_number": "909-790-4012",
            "fax_number": "909-790-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONBEC CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "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": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70111F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YUCAIPA ADULT DAY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yucaipa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.