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JONBEC CARE INC NPI 1942341524


NPI Information

NPI: 1942341524
Provider Name: JONBEC CARE INC

Doing Business As: TERRACE VIEW DIVISION

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization

CLIA Number: 05D2001292

Address:
12000 PEACH TREE RD # 2
YUCAIPA, CA
ZIP 92399
Phone: (909) 797-3945
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JONBEC CARE INC is an intermediate care facility mentally retarded in Yucaipa, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. JONBEC CARE INC NPI is 1942341524. The provider is registered as an organization entity type.
The provider Is Doing Business As Terrace View Division.

The provider's business location address is:

12000 PEACH TREE RD # 2
YUCAIPA, CA
ZIP 92399-703
Phone: (909) 797-3945

The provider's authorized official is Becky J Joseph .
The authorized official title is C.f.o. and has the following contact phone number (909) 798-4003.

The CLIA number assigned to this NPI record is 05D2001292 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1LTC60401FMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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