Organization Active NPI

Jonbec Care Inc

Doing business as Kendall Division

  • Intellectual Disabilities Intermediate Care Facility
  • Redlands, CA
National Provider Identifier
1497895965
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
JONBEC CARE INC
Doing business as
Kendall Division
Practice address
1835 E Citrus Ave
Redlands, CA 92374-7603
Phone
(909) 794-9242
NPI assigned
Feb 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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

1835 E Citrus Ave
Redlands, CA 92374-7603

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
LTC60257GMedicaidCA

Other names 1

  • KENDALL DIVISION Doing business as

Medicare participation

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497895965. Details of each certification follow.

  • CCN 05G466 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G466

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
KENDALL HOUSE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jul 18, 1990
Last certification
May 13, 2025
Beds
6
Ownership / control type
Private (non-profit)
Facility address
1835 E Citrus
Redlands, CA 92374

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": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497895965",
    "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": "909-798-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 E CITRUS AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923747603",
            "telephone_number": "909-794-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONBEC CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "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": "LTC60257G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KENDALL DIVISION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.