Jai Residential Care Home 2

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

JAI RESIDENTIAL CARE HOME 2

Practice address

5858 Point Rider Cir
Castle Rock, CO 80104-3474

Phone

(720) 212-9384

NPI assigned

Oct 1, 2019

Organization subpart

No

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

Authorized official

Name

Amonrut Jaimoon

Title

Owner

Phone

(720) 212-9384

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1831730746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5858 POINT RIDER CIR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801043474",
            "telephone_number": "720-212-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5858 POINT RIDER CIR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801043474",
            "telephone_number": "720-212-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAI RESIDENTIAL CARE HOME 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "JAIMOON",
        "authorized_official_first_name": "AMONRUT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-212-9384"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Castle Rock, CO
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• Assisted Living Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.