Organization Active NPI

Jeslia Inc

Doing business as Synergy HomeCare of Folsom Lake

  • In Home Supportive Care Agency
  • Folsom, CA
National Provider Identifier
1679867659
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
JESLIA INC
Doing business as
Synergy HomeCare of Folsom Lake
Practice address
13405 Folsom Blvd
Suite 513
Folsom, CA 95630-4737
Phone
(916) 351-0794
Fax
(888) 472-0883
NPI assigned
Jun 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Yan Qu
Title
President
Phone
(916) 351-0794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

13405 Folsom Blvd
Suite 513
Folsom, CA 95630-4737

Mailing address

13405 Folsom Blvd
Suite 513
Folsom, CA 95630-4737
Phone (916) 351-0794

Other names 1

  • Synergy HomeCare of Folsom Lake Doing business as

National Provider Directory

National Provider Directory

Locations

13405 Folsom Blvd
Ste 513
Folsom, CA 95630
Phone (916) 351-0794

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1679867659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13405 FOLSOM BLVD",
            "address_2": "SUITE 513",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304737",
            "telephone_number": "916-351-0794",
            "fax_number": "888-472-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13405 FOLSOM BLVD",
            "address_2": "SUITE 513",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304737",
            "telephone_number": "916-351-0794",
            "fax_number": "888-472-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESLIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "QU",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-351-0794"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy HomeCare of Folsom Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.