Organization Active NPI

Jcmfb, LLC

  • In Home Supportive Care Agency
  • Lake Forest, CA
National Provider Identifier
1942665476
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
JCMFB, LLC
Practice address
22865 Lake Forest Dr
# 212
Lake Forest, CA 92630-1605
Phone
(949) 583-0815
Fax
(949) 484-7312
NPI assigned
Dec 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Authorized official

Name
Mrs. Josefina M Virata
Title
Ceo
Phone
(714) 791-5578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X CA Primary

Addresses

Primary practice location

22865 Lake Forest Dr
# 212
Lake Forest, CA 92630-1605

Mailing address

22865 Lake Forest Dr
# 212
Lake Forest, CA 92630-1605
Phone (949) 583-0815

Other names 1

  • 1Heart Caregiver Services-Orange County Doing business as

National Provider Directory

National Provider Directory

Locations

22865 Lake Forest Dr
#212
Lake Forest, CA 92630
Phone (949) 583-0815

NPI Registry JSON

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1942665476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22865 LAKE FOREST DR",
            "address_2": "# 212",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301605",
            "telephone_number": "949-583-0815",
            "fax_number": "949-484-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22865 LAKE FOREST DR",
            "address_2": "# 212",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301605",
            "telephone_number": "949-583-0815",
            "fax_number": "949-484-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCMFB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "VIRATA",
        "authorized_official_first_name": "JOSEFINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-791-5578",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1Heart Caregiver Services-Orange County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.