JCR Home Care, Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

4093AGZ-12 Issued in NV

Legal business name

JCR HOME CARE, INC.

Practice address

7160 Darby Ave
Las Vegas, NV 89117-3122

Phone

(702) 203-3450

Fax

(702) 252-5092

NPI assigned

Oct 17, 2016

Organization subpart

Yes

Parent organization

JCR HOME CARE, INCAs reported in NPPES

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

Authorized official

Name

Jasmine CastilloNPI 1801098132

Title

Administrator

Phone

(702) 203-3450

Specialties & licenses 1

Addresses

Other names 1

• Desert Inn Residential Care Other name

Part of

JCR Home Care Inc

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jasmine Taboada Castillo, ADMINISTRATOR

  • Adult Day Care Clinic/Center
  • Las Vegas, NV
  • NPI 1801098132
  NPD (past) Authorized official

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1750832549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7160 DARBY AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173122",
            "telephone_number": "702-203-3450",
            "fax_number": "702-252-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7160 DARBY AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173122",
            "telephone_number": "702-203-3450",
            "fax_number": "702-252-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCR HOME CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JCR HOME CARE, INC",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-203-3450"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NV",
            "license": "4093AGZ-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Inn Residential Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jazmine Enterprises LLC
• Marsha Jazo
• Jazzy Wellness & Concierge LLC
• JC Medical Supplies Inc
• JCN Medical LLC
• JD Behavioral Services, LLC
• JD Medical Behavioral Health Corp
• JD Medical Group LLC
• JD Medical Group, LLC
• JDR Dermatology Research, LLC.

• Adult Care Home Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Adult Care Home Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.