Organization Active NPI

Jmi Ventures Inc.

  • Assisted Living Facility
  • Canoga Park, CA
National Provider Identifier
1932813896
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
JMI VENTURES INC.
Practice address
21709 Rodax St
Canoga Park, CA 91304-2536
Phone
(818) 325-6870
NPI assigned
Jan 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Jeffrey Illenberger
Title
Licensee
Phone
(818) 325-6870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

21709 Rodax St
Canoga Park, CA 91304-2536

Mailing address

21709 Rodax St
Canoga Park, CA 91304-2536
Phone (818) 325-6870

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1932813896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21709 RODAX ST",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913042536",
            "telephone_number": "818-325-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21709 RODAX ST",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913042536",
            "telephone_number": "818-325-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMI VENTURES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "ILLENBERGER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "818-325-6870"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.