JOMI ALTA5 ICFDD N NPI 1124169537

NPI Details

JOMI ALTA5 ICFDD N is a nursing facility intermediate care facility in Altadena, CA. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. JOMI ALTA5 ICFDD N NPI is 1124169537. The provider is registered as an organization entity type.
The provider Is Doing Business As Jomi Icfddn.

The provider's business location address is:

2075 EL MOLINO AVE
ALTADENA, CA
ZIP 91001-051
Phone: (626) 791-1321
Fax: (818) 841-4403

The provider's authorized official is Roger V Cuevas .
The authorized official title is Business Manager and has the following contact phone number (818) 841-1044.

The enumeration date for this NPI number is 2/9/2007 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: