Active NPI
Jenymel'S Home Care, Inc.
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Cypress, CA
National Provider Identifier
1508950601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- JENYMEL'S HOME CARE, INC.
- Practice address
- 6321 Rosemary Dr
Cypress, CA 90630-4036 - Phone
- (714) 761-5819
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maryann Bernabe Opena, BSEE-HE
- Title
- Administrator
- Phone
- (714) 875-0581
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary |
Addresses
Primary practice location
6321 Rosemary Dr
Cypress, CA 90630-4036
Mailing address
2790 Hidden Hills Way
Corona, CA 92882-8027
Phone (714) 875-0581
Other names 1
- JENYMEL'S HOME
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G059
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
- JENYMEL'S HOME
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Feb 20, 1997
- Last certification
- May 21, 2025
- Beds
- 6
- Ownership / control type
- Private (proprietary)
- Most recent change of ownership
- Apr 16, 2012
- Facility address
- 6321 Rosemary Drive
Cypress, CA 90630
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214438400000",
"number": "1508950601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2790 HIDDEN HILLS WAY",
"city": "CORONA",
"state": "CA",
"postal_code": "928828027",
"telephone_number": "714-875-0581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6321 ROSEMARY DR",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906304036",
"telephone_number": "714-761-5819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENYMEL'S HOME CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2008-06-26",
"status": "A",
"authorized_official_last_name": "OPENA",
"authorized_official_first_name": "MARYANN",
"authorized_official_middle_name": "BERNABE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "714-875-0581",
"authorized_official_credential": "BSEE-HE"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JENYMEL'S HOME",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cypress, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.