JRB Sullivan Enterprises, Inc.

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

Legal business name

JRB SULLIVAN ENTERPRISES, INC.

Doing business as

Nina's Care Home

Practice address

4272 Glazier CT
Concord, CA 94521-1944

Phone

(510) 205-8491

NPI assigned

Sep 4, 2023

Organization subpart

No

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

Authorized official

Name

Jacqueline Renee Brown

Title

President

Phone

(925) 595-7151

Specialties & licenses 1

Addresses

Other names 1

• Nina's Care Home Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Genevieve Dace, N.P.

  • Primary Care Clinic/Center
  • Pittsburg, CA
  • NPI 1396991360
  NPD

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1558147827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5191 MATHEWSON CT",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945319135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4272 GLAZIER CT",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945211944",
            "telephone_number": "510-205-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRB SULLIVAN ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-04",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-595-7151"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nina's Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Jourdain
• Journey Health Medical Group of California
• Elena Sofia Jovin Lock
• Michelle Joy
• Sarah Marie Joyner
• Joseph Lopez Juan III
• Shandy Juan
• Deisy Lizbeth Juarez Hernandez
• Jennifer Juarez Hernandez
• Ashton Juarez

• Physical Disabilities Residential Treatment Facility in Concord, CA
• Providers in Concord, CA by specialty
• Physical Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.