Blue Jay Manor, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

550003708 Issued in CA

Legal business name

BLUE JAY MANOR, LLC

Practice address

35 Blue Jay LN
Redlands, CA 92374-1650

Phone

(818) 281-5822

Fax

(909) 335-2727

NPI assigned

Feb 20, 2017

Last updated

Feb 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eleanor Posner, REGISTERED NURSE

Title

Director of Nursing

Phone

(818) 281-5822

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1568901809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BLUE JAY LN",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923741650",
            "telephone_number": "818-281-5822",
            "fax_number": "909-335-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BLUE JAY LN",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923741650",
            "telephone_number": "818-281-5822",
            "fax_number": "909-335-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE JAY MANOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "POSNER",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "818-281-5822",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "550003708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Redlands, CA
• Providers in Redlands, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.