Organization Active NPI

Jar-CV Enterprises , Inc

Doing business as Joy Health Care Services

  • Home Health Agency
  • Stanton, CA
National Provider Identifier
1821091380
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
250000783 Issued in CA
Legal business name
JAR-CV ENTERPRISES , INC
Doing business as
Joy Health Care Services
Practice address
12362 Beach Blvd.
Ste.5
Stanton, CA 90680-3956
Phone
(951) 352-4400
Fax
(951) 352-4440
NPI assigned
May 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Mr. Alfonso B Pintor
Title
Cfo
Phone
(951) 352-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 250000783 CA Primary

Addresses

Primary practice location

12362 Beach Blvd.
Ste.5
Stanton, CA 90680-3956

Mailing address

12362 Beach Blvd.
Ste.5
Stanton, CA 90680-3956
Phone (951) 352-4400

Other names 1

  • Joy Health Care Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030505000066 CA Part A Provider - Home Health Agency 4082524764 Practice locations: Stanton, CA

Home health agency certification: CCN 058188

Legal name
JAR-CV ENTERPRISES INC
Doing business as
JOY HEALTH CARE SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 24, 2003
Last certification
Aug 23, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 3, 2002 in CA
Enrollment address
12362 Beach Blvd
Ste 29C
Stanton, CA 90680-3956

Care Compare: Home health agency

Medicare Care Compare
Listed as
Joy Health Care ServicesCCN 058188 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Jul 24, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
05D1009191Jar-CV Enterprises Inc12362 Beach Blvd Suite 5, Stanton, CA 90680Certificate of waiverOct 1, 2027

National Provider Directory

National Provider Directory

Locations

49613 Harrison St
Ste B201
Coachella, CA 92236
Phone (760) 391-5557

11800 Sterling Ave
Ste A
Riverside, CA 92503
Phone (951) 352-4400

11681 Sterling Ave
Ste I
Riverside, CA 92503
Phone (951) 352-4400

12362 Beach Blvd
Ste 29C
Stanton, CA 90680
Phone (951) 352-4400

12362 Beach Blvd
Ste 5
Stanton, CA 90680
Phone (714) 799-9760

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Enrique de Guzman II Individual 5% Or Greater Direct Ownership InterestSecretary Jul 30, 2020 33.33%
Corporate OfficerSecretary , Board Member Jul 30, 2020 33.33%
Operational/Managerial ControlSecretary , Board Member Jul 30, 2020 33.33%
Edita Joy P de Guzman Individual Corporate DirectorAdministrator/Office Manager Jun 1, 2022
Operational/Managerial ControlAdministrator/Office Manager Jun 1, 2022
Maria Brenda B Holgado Individual Corporate DirectorDirector of Patient Care Service Jun 1, 2022
Rosemarie Soriano Individual 5% Or Greater Direct Ownership InterestCeo Jul 30, 2020 33.33%
Corporate OfficerCeo, Board Member Jul 30, 2020 33.33%
Operational/Managerial ControlCeo, Board Member Jul 30, 2020 33.33%
Alfonso B Pintor Individual 5% Or Greater Direct Ownership InterestCfo Jul 30, 2020 33.34%
Corporate OfficerCfo, Board Member Jul 30, 2020 33.34%
Operational/Managerial ControlCfo, Board Member Jul 30, 2020 33.34%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1821091380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12362 BEACH BLVD.",
            "address_2": "STE.5",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906803956",
            "telephone_number": "951-352-4400",
            "fax_number": "951-352-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12362 BEACH BLVD.",
            "address_2": "STE.5",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906803956",
            "telephone_number": "951-352-4400",
            "fax_number": "951-352-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAR-CV ENTERPRISES , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "PINTOR",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "951-352-4400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "250000783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joy Health Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stanton, CA

Sources for this page

Verify at the official NPI Registry.