JM Residential Care Facility LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

JM RESIDENTIAL CARE FACILITY LLC

Practice address

4742 Sussex Ave
Clovis, CA 93619-5606

Phone

(559) 724-9165

NPI assigned

Aug 4, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Carlos Marty

Title

Owner

Phone

(559) 599-8381

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1851275887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2553 N WHITTIER AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271462",
            "telephone_number": "559-559-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4742 SUSSEX AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936195606",
            "telephone_number": "559-724-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JM RESIDENTIAL CARE FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-03",
        "status": "A",
        "authorized_official_last_name": "MARTY",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-599-8381",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linling Jiang
• Deserae Olvera Jimenez
• Marizza Jimenez
• Stanley Makoto Jitsumyo, D.D.S.
• JM Healthcare Inc
• Krinstin Debra Joe, PHARM.D
• Alexander B John Jr., CRNA
• Amy Ann Johnson, RBT
• David W Johnson, MFC
• Jane Marguerite Johnson, FNP

• Assisted Living Facility in Clovis, CA
• Providers in Clovis, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.