Organization Active NPI

Jenymel'S Home Care, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Cypress, CA
National Provider Identifier
1508950601
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
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

Updated by the provider on Jun 26, 2008

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)CodeLicenseStatePrimary
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 Doing business as

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 Directory

NPI 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

Verify at the official NPI Registry.