JEWEL HOMECARE LLC


Address: 20152 Riverside Dr, Newport Beach, CA 92660-1325
Phone: 7143406697

JEWEL HOMECARE LLC (NPI# 1720696180) 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) 1720696180
Entity Type Organization
Organization Name JEWEL HOMECARE LLC
Practice Address 20152 Riverside Dr
Newport Beach
CA 92660-1325
Mailing Address 5111 Hamer Ln
Placentia
CA 92870-3650
Practice Telephone 7143406697
Mailing Telephone 7143406697
Enumeration Date 2020-07-21
Last Update Date 2020-07-21
Authorized Official Name JEHLA ROSE DELA ROSA (MANAGING MEMBER)
Authorized Official Telephone 9493948707
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA CCLD 306005502 01

Other Provider/Organization Names

Other Name Type Code
Jewel Homecare 2 Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1518438183 Jewel Homecare LLC Assisted Living Facility 5111 Hamer Ln, Placentia, CA 92870-3650 2018-12-07

Office Location

Street Address 20152 RIVERSIDE DR
City NEWPORT BEACH
State CA
Zip Code 92660-1325

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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

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Competitor

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City NEWPORT BEACH
Zip Code 92660

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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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