J-J Qual Care Home

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

J-J QUAL CARE HOME

Practice address

1306 S Hudson Ave
Los Angeles, CA 90019-3013

Phone

(323) 939-3964

Fax

(323) 939-3964

NPI assigned

May 13, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jean Timbol

Title

Licensee

Phone

(323) 478-1936

Specialties & licenses 1

Addresses

Tax ID family

J-J Children'S Home3 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.

• J-J Qual-Zerv, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Winnetka, CA
  • NPI 1114132008
  NPD tax ID
• J-J Qual-Zerv, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • West Hills, CA
  • NPI 1376758250
  NPD tax ID

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

{
    "created_epoch": "1179014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679788566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 HILL DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411130",
            "telephone_number": "323-478-1936",
            "fax_number": "323-478-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 S HUDSON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193013",
            "telephone_number": "323-939-3964",
            "fax_number": "323-939-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J-J QUAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TIMBOL",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "323-478-1936",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• J. Chung, D.D.S., Inc.
• J. Shayefar, a Dental Corporation
• J. W. Duncan MD a Medical Corporation

• Intellectual Disabilities Intermediate Care Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.