NPIMap

Organization Active NPI

Jonbec Care Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Loma Linda, CA
National Provider Identifier
1720128309
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
JONBEC CARE INC
Doing business as
TWELVE OAKS DIVISION
Practice address
1930 Gould St
Loma Linda, CA 92354-1743
Phone
(909) 796-9458
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Becky J Joseph, ADMINISTRATOR
Title
C.F.O.
Phone
(909) 798-4003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X CA Primary

Addresses

Primary practice location

1930 Gould St
Loma Linda, CA 92354-1743

Mailing address

PO Box 10788
San Bernardino, CA 92423-0788
Phone (909) 798-4003

Other identifiers 1

IdentifierTypeStateIssuer
LTC60087IMedicaidCA

Other names 1

  • TWELVE OAKS DIVISION Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G140

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
TWELVE OAKS DIVISION
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Dec 13, 1984
Last certification
Jan 22, 2026
Beds
6
Ownership / control type
Private (proprietary)
Facility address
1930 Gould Street
Loma Linda, CA 92354

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2026423Twelve Oaks Division1930 Gould St, Loma Linda, CA 92354Certificate of waiverJun 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Jonbec Care Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720128309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10788",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924230788",
            "telephone_number": "909-798-4003",
            "fax_number": "909-798-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 GOULD ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923541743",
            "telephone_number": "909-796-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONBEC CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "909-798-4003",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC60087I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TWELVE OAKS DIVISION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.