Organization Active NPI

JRV It Services LLC

  • In Home Supportive Care Agency
  • Hayward, CA
National Provider Identifier
1518684240
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Oct 24, 2022

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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL camillahomecare@gmail.com Direct

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.