Casa Viejos Personal Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CASA VIEJOS PERSONAL CARE

Practice address

18760 Chabroullian LN
Jamestown, CA 95327-9617

Phone

(209) 984-5124

Fax

(209) 984-0248

NPI assigned

Dec 6, 2012

Last updated

Dec 6, 2012By 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

Jennifer Joyce Thompson

Title

Admininstrator

Phone

(209) 984-5124

Specialties & licenses 1

Addresses

Tax ID family

Casa Viejos Assisted Living3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Tna

  dba Casa Viejos Asssited Living

  • Assisted Living Facility
  • Jamestown, CA
  • NPI 1942611454
  NPD tax ID
• TNS, Inc

  dba Casa Viejos Assisted Living

  • Health Service Clinic/Center
  • Jamestown, CA
  • NPI 1710346564
  NPD tax ID

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1649515388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1206",
            "city": "JAMESTOWN",
            "state": "CA",
            "postal_code": "953271206",
            "telephone_number": "209-984-5124",
            "fax_number": "209-984-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18760 CHABROULLIAN LN",
            "city": "JAMESTOWN",
            "state": "CA",
            "postal_code": "953279617",
            "telephone_number": "209-984-5124",
            "fax_number": "209-984-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA VIEJOS PERSONAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "ADMININSTRATOR",
        "authorized_official_telephone_number": "209-984-5124"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Anderson, DDS
• Donna Marie Bach, CMT
• Michael A Backlund, PHD
• Beloved Doula Services, LLC
• Nancy Marie Brace, DDS
• Gary Collinsworth, RPH
• Corrections and Rehabilitation-Headquarters (Sierra Conservation Center)
• Eva Kirsten Cunningham
• Dayna Decristoferi, LMFT
• David Benjamin Demattei, PA

• In Home Supportive Care Agency in Jamestown, CA
• Providers in Jamestown, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.