Jotag Homecare

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

JOTAG HOMECARE

Practice address

14723 Van Buren Ave
Gardena, CA 90247-3036

Phone

(310) 612-1897

Fax

(310) 756-6934

NPI assigned

Feb 9, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Evelyn Benitez Rull

Title

Administrator

Phone

(310) 612-1897

Specialties & licenses 1

Addresses

Other names 1

• JOTAG HOMECARE Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1528712437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14723 VAN BUREN AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473036",
            "telephone_number": "310-612-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14723 VAN BUREN AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473036",
            "telephone_number": "310-612-1897",
            "fax_number": "310-756-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOTAG HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "RULL",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "BENITEZ",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-612-1897"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOTAG HOMECARE",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "JOTAG HOMECARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Shawnae Joseph
• Heriberto Antonio Jovel Ruedas
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• Evelyn Juan
• Monica Juarez Martinez, NONE

• Assisted Living Facility in Gardena, CA
• Providers in Gardena, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.