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JONBEC CARE INC NPI 1780724286


NPI Information

NPI: 1780724286
Provider Name: JONBEC CARE INC

Doing Business As: CANTERBURY DIVISION

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

CLIA Number: 05D1070790

Address:
13131 6TH PL # 2
YUCAIPA, CA
ZIP 92399
Phone: (909) 795-6550
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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 1780724286. The provider is registered as an organization entity type.
The provider Is Doing Business As Canterbury Division.

The provider's business location address is:

13131 6TH PL # 2
YUCAIPA, CA
ZIP 92399-345
Phone: (909) 795-6550

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 05D1070790 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1LTC80348FMEDICAIDCALIFORNIA

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: 4/28/2024

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