Organization Active NPI

Jstar Home Care Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Cerritos, CA
National Provider Identifier
1760198444
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
JSTAR HOME CARE INC.
Practice address
17428 Sybrandy Ave
Cerritos, CA 90703-8139
Phone
(310) 930-4313
NPI assigned
Jan 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Joaquina Winters ShinnNPI 1821456617
Title
Ceo/President
Phone
(310) 930-4313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

17428 Sybrandy Ave
Cerritos, CA 90703-8139

Mailing address

17428 Sybrandy Ave
Cerritos, CA 90703-8139
Phone (310) 930-4313

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1760198444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17428 SYBRANDY AVE",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038139",
            "telephone_number": "310-930-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17428 SYBRANDY AVE",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038139",
            "telephone_number": "310-930-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSTAR HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "SHINN",
        "authorized_official_first_name": "JOAQUINA",
        "authorized_official_middle_name": "WINTERS",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "310-930-4313"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.