Active NPI
Jewel Homecare LLC
Doing business as Jewel Home 1
- Assisted Living Facility
- Placentia, CA
National Provider Identifier
1518438183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- JEWEL HOMECARE LLC
- Doing business as
- Jewel Home 1
Jewel Home 2 - Practice address
- 5111 Hamer LN
Placentia, CA 92870-3650 - Phone
- (714) 983-7637
- NPI assigned
- Dec 7, 2018
- 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
- Jehla Dela Rosa
- Title
- Managing Partner
- Phone
- (424) 270-4452
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
5111 Hamer LN
Placentia, CA 92870-3650
Mailing address
5111 Hamer LN
Placentia, CA 92870-3650
Other practice location 1
20152 Riverside Dr
Newport Beach, CA 92660-1325
Phone (714) 983-7637
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 306005501 | Other | CA | FACILITY NUMBER |
| 306005502 | Other | CA | FACILITY NUMBER |
Other names 2
- Jewel Home 1
- Jewel Home 2
National Provider Directory
National Provider Directory- Tax ID family
- Jewel Home 1
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595462400000",
"number": "1518438183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5111 HAMER LN",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928703650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5111 HAMER LN",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928703650",
"telephone_number": "714-983-7637"
}
],
"practiceLocations": [
{
"address_1": "20152 Riverside Dr",
"address_purpose": "LOCATION",
"city": "Newport Beach",
"state": "CA",
"postal_code": "926601325",
"country_code": "US",
"telephone_number": "714-983-7637",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JEWEL HOMECARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-07",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A",
"authorized_official_last_name": "DELA ROSA",
"authorized_official_first_name": "JEHLA",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "424-270-4452"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY NUMBER",
"identifier": "306005501",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY NUMBER",
"identifier": "306005502",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jewel Home 1",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Jewel Home 2",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Placentia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.