JDTJE CORPORATION


Address: 3135 Clayton Rd, Suite 103, Concord, CA 94519-2796
Phone: 9252383030

JDTJE CORPORATION (NPI# 1528615622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528615622
Entity Type Organization
Organization Name JDTJE CORPORATION
Practice Address 3135 Clayton Rd, Suite 103
Concord
CA 94519-2796
Practice Telephone 9252383030
Practice Fax Number 9252812800
Mailing Telephone 9252383030
Mailing Fax Number 9252812800
Enumeration Date 2019-08-22
Last Update Date 2019-08-22
Authorized Official Name MRS. JOCELYN CAPALOS DE LA TORRE (ADMINISTRATOR/OWNER)
Authorized Official Telephone 6509221039
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251G00000X Hospice Care, Community Based Agencies

Other Provider/Organization Names

Other Name Type Code
Modevie Hospice Doing Business As Name - Organization

Office Location

Street Address 3135 CLAYTON RD, SUITE 103
City CONCORD
State CA
Zip Code 94519-2796

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NPI Name Taxonomy Address Enumeration
1023581949 Kristian Dee Arthur Williams Behavior Technician 1335 North Dutton Rd, Concord, CA 94519 2019-01-03
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1548637184 Nicole Marie Ortega Dental Hygienist 3185 Claudia Drive, Concord, CA 94519 2015-08-31
1609242346 Melanie M Gaglioti Dentist 2955 Salvio St., Concord, CA 94519 2015-08-17
1013332287 Anka Behavioral Health, Inc. Community/Behavioral Health 3711 Lindero Dr, Concord, CA 94519 2014-02-25
1144548017 Joanna Christine Costello Social Worker 1861 Silverwood Dr., Concord, CA 94519 2010-05-17
1497913255 Dennis Barry Bealick Psychiatry & Neurology 1957 Parkside Dr #300, Concord, CA 94519 2008-05-29
1912171968 Brian Richard Sheaff Dentist 1945 Parkside Drive, Concord, CA 94519 2008-04-21
1073706156 Fruida D Tchekra Counselor 3024 Willow Pass Road, Concord, CA 94519 2007-08-22
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Taxonomy Information

Taxonomy Code 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023679685 Blossom Ridge Hospice Bay Area, LLC Hospice Care, Community Based 1800 Sutter St Ste 420b, Concord, CA 94520-2563 2019-06-25
1720545122 Doctor's Preferred Home Health Inc Hospice Care, Community Based 4415 Cowell Rd Ste 141, Concord, CA 94518-1997 2019-02-22
1255897237 Aveem, Inc. Hospice Care, Community Based 2520 Stanwell Dr Ste 100, Concord, CA 94520-4819 2019-02-14
1720505936 Waterfront Healthcare, Inc. Hospice Care, Community Based 2300 Clayton Rd Ste 1220, Concord, CA 94520-2100 2017-08-28
1871920587 Md Choice Hospice Inc Hospice Care, Community Based 4415 Cowell Rd Ste 140, Concord, CA 94518-1947 2013-09-27
1710157987 Evercare Hospice, Inc. Hospice Care, Community Based 2300 Clayton Rd, Suite 1000, Concord, CA 94520-2100 2008-03-04
1053519272 Beacon Hospice, LLC Hospice Care, Community Based 70 Commercial St, 4th Floor, Concord, NH 03301-5094 2007-07-10
1366494502 In Home Health LLC Hospice Care, Community Based 901 Sunvalley Blvd, Suite 220b, Concord, CA 94520-5899 2006-05-16
1508271388 Sojourn Hospice & Palliative Care -east Bay, LLC. Hospice Care, Community Based 1320 Willow Pass Rd, Suite 420, Concord, CA 94520-5232 2014-06-30
1427081256 Sutter Visiting Nurse Association and Hospice Hospice Care, Community Based 1900 Bates Ave, Suite A, Concord, CA 94520-8587 2006-07-07
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Competitor

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City CONCORD
Zip Code 94519

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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