Organization Active NPI

Jubilee Health Care Management, Inc.

  • Home Health Agency
  • Lakewood, CA
National Provider Identifier
1811995665
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JUBILEE HEALTH CARE MANAGEMENT, INC.
Practice address
4010 Watson Plaza Dr
Suite 210
Lakewood, CA 90712-4037
Phone
(562) 497-0420
NPI assigned
Jul 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Eugene Choi
Title
President
Phone
(562) 497-0420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

4010 Watson Plaza Dr
Suite 210
Lakewood, CA 90712-4037

Mailing address

4010 Watson Plaza Dr
Suite 210
Lakewood, CA 90712-4037
Phone (562) 497-0420

Other identifiers 1

IdentifierTypeStateIssuer
HHA07890GMedicaidCA

Other names 1

  • Jubilee Home Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

4010 Watson Plaza Dr
Ste 210
Lakewood, CA 90712
Phone (562) 497-0420

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1811995665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 WATSON PLAZA DR",
            "address_2": "SUITE 210",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907124037",
            "telephone_number": "562-497-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 WATSON PLAZA DR",
            "address_2": "SUITE 210",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907124037",
            "telephone_number": "562-497-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBILEE HEALTH CARE MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-497-0420"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA07890G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jubilee Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.