Organization Active NPI

Jonquil Holdings, LLC

  • Skilled Nursing Facility
  • Davis, CA
National Provider Identifier
1508164732
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
JONQUIL HOLDINGS, LLC
Doing business as
DAVIS HEALTHCARE CENTER
Practice address
715 Pole Line Rd
Davis, CA 95618-4015
Phone
(530) 756-4900
NPI assigned
Mar 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Authorized official

Name
Paul Hubbard
Title
Manager
Phone
(760) 471-0388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

715 Pole Line Rd
Davis, CA 95618-4015

Mailing address

100 E San Marcos Blvd
Suite 200
San Marcos, CA 92069-2986
Phone (760) 471-0388

Other identifiers 1

IdentifierTypeStateIssuer
1508164732MedicaidCA

Other names 1

  • DAVIS HEALTHCARE CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

715 Pole Line Rd
Davis, CA 95618
Phone (530) 756-4900

NPI Registry JSON

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1508164732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E SAN MARCOS BLVD",
            "address_2": "SUITE 200",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692986",
            "telephone_number": "760-471-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 POLE LINE RD",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956184015",
            "telephone_number": "530-756-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONQUIL HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "760-471-0388"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508164732",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAVIS HEALTHCARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.