JMJ Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

JMJ HOSPICE CARE, INC.

Practice address

8640 Brentwood Blvd Ste D1
Brentwood, CA 94513-5687

Phone

(925) 390-9575

Fax

(925) 392-8539

NPI assigned

May 4, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Andres Jr Jagarap Melanio-Marquina, BSN, RN

Title

Administrator

Phone

(925) 392-8536

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B31569

Legal name

JMJ HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 17, 2021

Last certification

Dec 17, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Apr 13, 2020 in CA

Enrollment address

8640 Brentwood Blvd
Ste D1
Brentwood, CA 94513-5687

Listed as

JMJ Hospice Care, Inc.CCN B31569

Certified

Dec 17, 2021

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Irina Victor Kolomey, D.O.

  • Internal Medicine Physician
  • Walnut Creek, CA
  • NPI 1104062173

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1609497395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8640 BRENTWOOD BLVD STE D1",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135687",
            "telephone_number": "925-390-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8640 BRENTWOOD BLVD STE D1",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945135687",
            "telephone_number": "925-390-9575",
            "fax_number": "925-392-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMJ HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-04",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "MELANIO-MARQUINA",
        "authorized_official_first_name": "ANDRES JR",
        "authorized_official_middle_name": "JAGARAP",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "925-392-8536",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Jeremy, LMFT
• Jesse M. Fa, DDS, Inc
• Martha Jeane Jewell, PT PHD
• Laura Angelo Jimenez, P.T.
• JMJ Healthcare, Inc
• Dianne Elizabeth Joachim-Romero, RDHAP
• Jasdeep Johl, DDS
• Darnell Damien Johnson
• Derek Johnson, D.O.
• Kaili Johnson

• Community Based Hospice Care Agency in Brentwood, CA
• Providers in Brentwood, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.