Active NPI
JRV It Services LLC
- In Home Supportive Care Agency
- Hayward, CA
National Provider Identifier
1518684240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- JRV IT SERVICES LLC
- Practice address
- 29101 Eden Shores Dr
Hayward, CA 94545-1354 - Phone
- (510) 738-4108
- NPI assigned
- Oct 24, 2022
- 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
- Jerome Venzuela
- Title
- Owner
- Phone
- (510) 738-4108
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
29101 Eden Shores Dr
Hayward, CA 94545-1354
Mailing address
29101 Eden Shores Dr
Hayward, CA 94545-1354
Phone (510) 738-4108
Other names 1
- Camilla Home Care
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | camillahomecare@gmail.com | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666569600000",
"number": "1518684240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29101 EDEN SHORES DR",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945451354",
"telephone_number": "510-738-4108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29101 EDEN SHORES DR",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945451354",
"telephone_number": "510-738-4108"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JRV IT SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-24",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A",
"authorized_official_last_name": "VENZUELA",
"authorized_official_first_name": "JEROME",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "510-738-4108"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "camillahomecare@gmail.com",
"affiliation": "N",
"endpointDescription": "email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "29101 Eden Shores Dr",
"city": "Hayward",
"state": "CA",
"country_code": "US",
"postal_code": "945451354",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Camilla Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.